JOSE A TELLECHEA-MENDOZA MD (Credential# 545395) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JOSE A TELLECHEA-MENDOZA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025303. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is Po Box 350, Higganum, CT 06441-0350. The current status is active.
| Licensee Name | JOSE A TELLECHEA-MENDOZA MD |
| Credential ID | 545395 |
| Credential Number | 1.025303 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 350 Higganum CT 06441-0350 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1984-02-07 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154156 | CSP.0015907 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | PO BOX 350 |
| City | HIGGANUM |
| State | CT |
| Zip Code | 06441-0350 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert J Grasso | 44 Thorne Wood Road, Higganum, CT 06441 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Julie A Hajek | 364 Candlewood Hill Road, Higganum, CT 06441 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
| Timothy L Brewer | 144 Dublin Hill Rd, Higganum, CT 06441 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Fortuna | 58 Killingworth Road, Higganum, CT 06441 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kelli S Botteon · Brown | 23 Depot Road, Higganum, CT 06441 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| David Wysocki | Po Box 743, Higganum, CT 06441 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
| Theresa M Beeman | 28 Teaberry Court, Higganum, CT 06441 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
| Ronald Hajek | 364 Candlewood Hill, Higganum, CT 06441 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Heather M Herrington · Ridgeway | 186 Brainard Hill Rd, Higganum, CT 06441 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Brenda L Marinan | P O Box 605, Higganum, CT 06441 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06441 | |||
| City | HIGGANUM |
| Zip Code | 06441 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HIGGANUM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose P Mendoza Jr | 412 Brookdale Ct, Lady Lake, FL 32162 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Cristina Tellechea | 52 Laurel Grove Dr, Higganum, CT 06441-4355 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| 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 |
| Jose Toro | 153 S Country Rd, Remsenburg, NY 11960 | Physician/surgeon | ~ |
| Claudine Lott | 145 Nicholson Ln, San Jose, CA 95134-1359 | Physician/surgeon | ~ |
| Jose Chaume | Station B, San Francisco, CA 94126 | Physician/surgeon | 1998-04-21 ~ 1999-06-30 |
| Jose M Berger | 20 Brownell St, New Haven, CT 06511-4006 | Physician/surgeon | 1983-07-29 ~ 1988-02-29 |
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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).