JOSE P MENDOZA JR (Credential# 541809) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2010. The license expiration date date is April 30, 2011. The license status is INACTIVE.
JOSE P MENDOZA JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016187. The credential type is physician/surgeon. The effective date is May 1, 2010. The expiration date is April 30, 2011. The business address is 412 Brookdale Ct, Lady Lake, FL 32162. The current status is inactive.
| Licensee Name | JOSE P MENDOZA JR |
| Credential ID | 541809 |
| Credential Number | 1.016187 |
| Credential Type | Physician/Surgeon |
| Business Address |
412 Brookdale Ct Lady Lake FL 32162 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1973-07-16 |
| Effective Date | 2010-05-01 |
| Expiration Date | 2011-04-30 |
| Refresh Date | 2011-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 146654 | CSP.0000375 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 412 BROOKDALE CT |
| City | LADY LAKE |
| State | FL |
| Zip Code | 32162 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marie M Campbell · Mentz | 3624 Idlewood Loop, The Villages, FL 32162 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| James R Swift | 2185 Ellison Place, The Villages, FL 32162 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Uss | 815 Furman Loop, The Villages, FL 32162 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Robert A Norman | 2068 Fawnridge Court, The Villages, FL 32162 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Patricia Alison Murray | 17995 Se 83rd Melody Ave, The Villages, FL 32162 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Ellen W Thompson | 7851 Se 173rd Panorama Place, The Villages, FL 32162 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Margaret A Romano | 1335 Ballesteros Drive, The Villages, FL 32162 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Lynn C Gayda | 1577 Blythewood Loop, The Villages, FL 32162 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Mary Elizabeth Kelly | 310 Shiloh Court, The Villages, FL 32162 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| William B Supino | 17574 Se 88th Covington Circle, Lady Lake, FL 32162 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 32162 | |||
| City | LADY LAKE |
| Zip Code | 32162 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LADY LAKE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose A Tellechea-mendoza Md | Po Box 350, Higganum, CT 06441-0350 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ruben Mendoza | 20 Memory Ln, Fairfield, CT 06824 | Physician/surgeon | 2006-12-19 ~ 2008-02-29 |
| Matias Rojas | Barrio Cementista II M 1 C 11 Las Heras, Mendoza, AA 5539 | Physician/surgeon | 2019-08-28 ~ 2019-11-30 |
| Nelia Aguilar Mendoza | 355 Bard Avenue, Staten Island, NY 10310 | Physician/surgeon | ~ 1999-12-31 |
| Jose I Yap | 540 Parmalee Ave, Youngstown, OH 44510 | Physician/surgeon | 2005-05-31 ~ 2006-05-31 |
| Claudine Lott | 145 Nicholson Ln, San Jose, CA 95134-1359 | Physician/surgeon | ~ |
| Jose Toro | 153 S Country Rd, Remsenburg, NY 11960 | Physician/surgeon | ~ |
| Jose F L Da Costa | 85 Seymour St Ste 901, Hartford, CT 06106-5528 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
| Jose M Berger | 20 Brownell St, New Haven, CT 06511-4006 | Physician/surgeon | 1983-07-29 ~ 1988-02-29 |
| Jose Chaume | Station B, San Francisco, CA 94126 | Physician/surgeon | 1998-04-21 ~ 1999-06-30 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).