RAFAEL L DIAZ
Physician/surgeon


Address: 133 Cabin Spgs, Boerne, TX 78006-7224

RAFAEL L DIAZ (Credential# 549646) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 18, 2009. The license expiration date date is February 28, 2010. The license status is INACTIVE.

Business Overview

RAFAEL L DIAZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031992. The credential type is physician/surgeon. The effective date is May 18, 2009. The expiration date is February 28, 2010. The business address is 133 Cabin Spgs, Boerne, TX 78006-7224. The current status is inactive.

Basic Information

Licensee Name RAFAEL L DIAZ
Credential ID 549646
Credential Number 1.031992
Credential Type Physician/Surgeon
Business Address 133 Cabin Spgs
Boerne
TX 78006-7224
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-11-15
Effective Date 2009-05-18
Expiration Date 2010-02-28
Refresh Date 2010-06-04

Office Location

Street Address 133 CABIN SPGS
City BOERNE
State TX
Zip Code 78006-7224

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jerrilynn Denise Sullivan 132 Stonegate South, Boerne, TX 78006 Registered Nurse 2019-11-01 ~ 2020-10-31
Gregory T Mane 141 Rattlesnake Bluff, Boerne, TX 78006 Heating, Piping & Cooling Limited Journeyperson 2018-09-01 ~ 2019-08-31
Annie's Apothecary 31007 Ih10 Suite #108, Boerne, TX 78006 Nonresident Pharmacy 2017-09-01 ~ 2018-08-31
Stacey Dawn Matarese 13 Walnut Grove Rd, Boerne, TX 78006 Pharmacist 2014-02-01 ~ 2016-01-31
Michael A Gargano 765 Rio Brazos, Boerne, TX 78006 Professional Engineer 2015-02-01 ~ 2016-01-31
Dolly N Loftiss 150 Medical Dr Apt 4104, Boerne, TX 78006 Licensed Practical Nurse 2011-12-01 ~ 2012-11-30
Carole A Agee 9006 Woodland Trace, Boerne, TX 78006 Registered Nurse 2010-03-01 ~ 2011-02-28
Mari S O'brien 153 Richter Ave, Boerne, TX 78006 Registered Nurse 2010-02-01 ~ 2011-01-31
Barbara A Pratt · Zukowski 79 Wyatt Trail, Boerne, TX 78006 Registered Nurse 2009-12-01 ~ 2010-11-30
Paula M Savant 211 Second Street, Boerne, TX 78006 Registered Nurse 2009-04-13 ~ 2010-04-30
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City BOERNE
Zip Code 78006
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BOERNE

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Dataset Information

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).

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