ANTOLIN M DYCOCO (Credential# 545024) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 15, 1993. The license expiration date date is November 30, 1994. The license status is INACTIVE.
ANTOLIN M DYCOCO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024432. The credential type is physician/surgeon. The effective date is November 15, 1993. The expiration date is November 30, 1994. The business address is 10401 Cadiz Rd, Cambridge, OH 43725. The current status is inactive.
| Licensee Name | ANTOLIN M DYCOCO |
| Credential ID | 545024 |
| Credential Number | 1.024432 |
| Credential Type | Physician/Surgeon |
| Business Address |
10401 Cadiz Rd Cambridge OH 43725 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1983-09-09 |
| Effective Date | 1993-11-15 |
| Expiration Date | 1994-11-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 10401 CADIZ RD |
| City | CAMBRIDGE |
| State | OH |
| Zip Code | 43725 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phillip Michael Choma | 3811 Mark Rd., Cambridge, OH 43725 | Registered Nurse | 2020-01-09 ~ 2020-09-30 |
| Scott A Flaten | 1229 Beatty Ave, Cambridge, OH 43725-2515 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| John Nicolozakes · Georgetown Vineyards | 62920 Georgetown Rd, Cambridge, OH 43725-9771 | Out of State Winery | 2015-03-13 ~ 2016-03-12 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Charles Stark Draper Laboratory Inc | 555 Technology Sq, Cambridge, MA 02139-3539 | Public Charity | 2019-03-22 ~ 2020-05-31 |
| Hyosun Yoon | 11 Max Ave Unit B, Cambridge, MA 02141-1522 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Alexi M Kimura | 44 Lincoln St # 1, Cambridge, MA 02141-1348 | Pharmacist | 2020-06-24 ~ 2022-01-31 |
| Joel Matthew Abbott | 33 Concord Ave Apt 14, Cambridge, MA 02138-2340 | Professional Engineer | ~ |
| Unitarian Universalist Service Committee Inc | 689 Massachusetts Ave, Cambridge, MA 02139-3302 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Stephen Stimson Associates Landscape Architects Inc | 288 Norfolk Street, 5th Floor, Cambridge, MA 02139 | Landscape Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Ralph Eugene | 257 Rindge Ave, Cambridge, MA 02140-3212 | Registered Nurse - Temporary | 2020-02-18 ~ 2020-06-17 |
| James J Gray | 84 Kirkland St, Cambridge, MA 02138-2033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Atlas Venture Fund Xii, L.p. | 400 Technology Square, Cambridge, MA 02139 | Securities - Exemptions | 2020-06-10 ~ |
| Kimberly M Gannon | 58 6th St Apt 2, Cambridge, MA 02141-1548 | Emergency Medical Technician | 2020-06-15 ~ 2022-03-31 |
| Find all Licenses in CAMBRIDGE | |||
| City | CAMBRIDGE |
| Zip Code | 43725 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CAMBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leilani Antolin Baez | 5468 Bulls Bay Dr, Virginia Beach, VA 23462-7199 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Antolin C Trinidad | 4228 Wisconsin Avenue Nw, Washington, DC 20016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
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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).