MARCO T GONZALEZ
Physician/surgeon


Address: 12385 Rocklege, Boca Raton, FL 33428

MARCO T GONZALEZ (Credential# 551101) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 11, 1995. The license expiration date date is February 29, 1996. The license status is INACTIVE.

Business Overview

MARCO T GONZALEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033502. The credential type is physician/surgeon. The effective date is January 11, 1995. The expiration date is February 29, 1996. The business address is 12385 Rocklege, Boca Raton, FL 33428. The current status is inactive.

Basic Information

Licensee Name MARCO T GONZALEZ
Credential ID 551101
Credential Number 1.033502
Credential Type Physician/Surgeon
Business Address 12385 Rocklege
Boca Raton
FL 33428
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-02-04
Effective Date 1995-01-11
Expiration Date 1996-02-29
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
163371 CSP.0022024 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1994-04-19 - 1995-09-01 INACTIVE

Office Location

Street Address 12385 ROCKLEGE
City BOCA RATON
State FL
Zip Code 33428

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Margaret M Di Santis 9169 Sw 16th Rd. E., Boca Raton, FL 33428 Dental Hygienist 2020-01-01 ~ 2020-12-31
Wendy K Colindres 21116 Shady Vista Lane, Boca Raton, FL 33428 Registered Nurse 2019-08-01 ~ 2020-07-31
Scott J Roseff 9960 Central Park Blvd, Boca Raton, FL 33428 Physician/surgeon 2019-10-01 ~ 2020-09-30
Jennifer L Berkowitz 21185 Ponte Vista Circle, Boca Raton, FL 33428 Physician/surgeon 2019-09-01 ~ 2020-08-31
Marilyn R Weisser 21760 Old Bridge Trail, Boca Raton, FL 33428 Registered Nurse 2016-11-01 ~ 2017-10-31
Charles Graham 9200 Sw 3rd Street #117, Boca Raton, FL 33428 Registered Nurse - Temporary 2016-05-10 ~ 2016-09-06
Joseph A Polkowski · Land Surveyor 11169 S Terradas Ln, Boca Raton, FL 33428 Land Surveyor 1993-02-08 ~ 1994-01-31
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Competitor

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City BOCA RATON
Zip Code 33428
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BOCA RATON

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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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