ROBERTO M MEDINA (Credential# 552103) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
ROBERTO M MEDINA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034507. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 538 Chimneysweep Hill Rd., Glastonbury, CT 06033. The current status is active.
| Licensee Name | ROBERTO M MEDINA |
| Credential ID | 552103 |
| Credential Number | 1.034507 |
| Credential Type | Physician/Surgeon |
| Business Address |
538 Chimneysweep Hill Rd. Glastonbury CT 06033 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1995-05-26 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-07-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161151 | CSP.0023329 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-08-05 - 2015-02-28 | INACTIVE |
| Street Address | 538 CHIMNEYSWEEP HILL RD. |
| City | Glastonbury |
| State | CT |
| Zip Code | 06033 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | Glastonbury |
| Zip Code | 06033 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Glastonbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ana L Medina-mateo | St 1 #12, Guaynabo, PR 00968 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| Roberto B Gil Md | 500 Almena Avenue, Ardsley, NY 10502 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Roberto Troncoso | 81 Westerly Ter, Hartford, CT 06105 | Physician/surgeon | 1998-03-10 ~ 1999-05-31 |
| Aaron J Roberto | 38 Heritage Dr, Easton, CT 06612-2241 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Debra Hopkins Md | Po Box 1473, Medina, TX 78055 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
| Roberto O Romero | 837 Sequoia Circle, Monrouia, CA 91016 | Physician/surgeon | 2009-04-27 ~ 2010-06-30 |
| Roberto A Calle | 28 Haywood Lane, Hamden, CT 06514 | Physician/surgeon | 1992-10-23 ~ 1993-10-31 |
| Roberto M Martinez | 2044 Bridgeport Ave, Milford, CT 06460-4633 | Physician/surgeon | ~ 1989-01-31 |
| Roberto Velasco Depaula | 125 E 87th St, New York, NY 10128-1124 | Physician/surgeon | 1984-10-26 ~ 1986-05-31 |
| Roberto J Groszmann | 33 Pine Ridge Rd, Woodbridge, CT 06525 | Physician/surgeon | 2017-09-01 ~ 2018-08-31 |
Please comment or provide details below to improve the information on ROBERTO M MEDINA.
| 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).