EDVVIGIS CARRERA MD
DUTCHESS MEDICAL PRACTICE PC


Address: Po Box 108, Amenia, NY 12501

EDVVIGIS CARRERA MD (Credential# 550090) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 22, 2005. The license expiration date date is September 30, 2006. The license status is INACTIVE.

Business Overview

EDVVIGIS CARRERA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032483. The credential type is physician/surgeon. The effective date is July 22, 2005. The expiration date is September 30, 2006. The business address is Po Box 108, Amenia, NY 12501. The current status is inactive.

Basic Information

Licensee Name EDVVIGIS CARRERA MD
Business Name DUTCHESS MEDICAL PRACTICE PC
Credential ID 550090
Credential Number 1.032483
Credential Type Physician/Surgeon
Business Address Po Box 108
Amenia
NY 12501
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-07-31
Effective Date 2005-07-22
Expiration Date 2006-09-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
161921 CSP.0021646 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address PO BOX 108
City AMENIA
State NY
Zip Code 12501

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Lisa Straus Md · Dutchers Medical Pratice Po Box 108, Amenia, NY 12501-0108 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Marian Moher Paton 442 Leedsville Road, Amenia, NY 12501 Registered Nurse 2020-07-01 ~ 2021-06-30
Linda Peck 74 Cascade Road, Amenia, NY 12501 Hairdresser/cosmetician 2020-06-01 ~ 2022-05-31
Marnie Sinclair 5002 New York 22, Amenia, NY 12501 Massage Therapist 2020-07-01 ~ 2022-06-30
Patricia L O'neil Aprn Po Box 272, Amenia, NY 12501 Advanced Practice Registered Nurse 2020-08-01 ~ 2021-07-31
William Flood 5432 Route 44, Amenia, NY 12501 Real Estate Broker 2019-05-13 ~ 2020-03-31
Robert H Riemer Main St 4963 B, Amenia, NY 12501 Real Estate Broker 2020-04-01 ~ 2021-03-31
Craig Michael Paraszti 5 Flood Drive, Amenia, NY 12501 Registered Nurse 2020-05-01 ~ 2021-04-30
Dona R Grasseler 321 Amenia Union Road, Amenia, NY 12501 Registered Nurse 2020-05-01 ~ 2021-04-30
Jessica F Boardman 5010 Rt 22, Amenia, NY 12501 Registered Nurse 2020-03-01 ~ 2021-02-28
April A Tompkins 17 Folan Rd, Amenia, NY 12501 Licensed Practical Nurse 2020-03-01 ~ 2021-02-28
Find all Licenses in zip 12501

Competitor

Search similar business entities

City AMENIA
Zip Code 12501
License Type Physician/Surgeon
License Type + County Physician/Surgeon + AMENIA

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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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