SERVILLANO E DELA CRUZ JR (Credential# 553574) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is February 28, 1998. The license status is INACTIVE.
SERVILLANO E DELA CRUZ JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035982. The credential type is physician/surgeon. The expiration date is February 28, 1998. The business address is 254-04 82nd Avenue, Floral Park, NY 11004. The current status is inactive.
| Licensee Name | SERVILLANO E DELA CRUZ JR |
| Credential ID | 553574 |
| Credential Number | 1.035982 |
| Credential Type | Physician/Surgeon |
| Business Address |
254-04 82nd Avenue Floral Park NY 11004 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-05-02 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 185575 | CSP.0025759 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-07-03 - 1998-02-28 | INACTIVE |
| Street Address | 254-04 82ND AVENUE |
| City | FLORAL PARK |
| State | NY |
| Zip Code | 11004 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Prabhjot Singh | 83-14 266th St, Floral Park, NY 11004 | Physician/surgeon | ~ |
| Alby Ann Jacob | 74-10 263rd St, Glen Oaks, NY 11004 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Gunjan U Khandwala | 83-14 262nd Street, Floral Park, NY 11004 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Narendra Vora | 73-49 260 Street, Glen Oaks, NY 11004 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| John Palmerson | 263 Street 80-35, Floral Park, NY 11004 | Notary Public Appointment | 2006-09-06 ~ 2011-09-30 |
| Anne Elizabeth Spencer | 261-08b Langston Ave, Glen Oaks, NY 11004 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Soon-jung Fong | 26033 73rd Ave, Glen Oaks, NY 11004 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Patricia E Ziske | P.o. Box 40302, Glen Oaks, NY 11004 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Srinivasa Rao Komirisetty | 7554 255th St #a1, Glen Oaks, NY 11004 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
| Mandeep S Sahi | 76-16 264 St, Glen Oaks, NY 11004 | Home Improvement Contractor | 2006-11-27 ~ 2007-11-30 |
| Find all Licenses in zip 11004 | |||
| City | FLORAL PARK |
| Zip Code | 11004 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FLORAL PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles Dela Cruz · Yale University School of Medicine | 1 Gilbert St Tac-s 440, New Haven, CT 06519-1621 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ana Dela Cruz | 371 Arctic St, Bridgeport, CT 06608-1932 | Hairdresser/cosmetician | 2019-12-01 ~ 2021-11-30 |
| Rosa M Dela Cruz | 93 State Pier Rd, New London, CT 6320 | Hairdresser/cosmetician | ~ |
| Jeffrey Dela Cruz | 3 Murthas Way Apt 139, Granby, CT 06035 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Rosalinda D Dela Cruz | 7 Piave St, Stamford, CT 06902 | Registered Nurse | 2007-10-03 ~ 2008-11-30 |
| Catherine T Dela Cruz | 55-08a 97 Street, Corona, NY 11368 | Registered Nurse | 1996-03-11 ~ 1997-03-31 |
| Marissa P Dela Cruz | 42 Oxford Ct, Stamford, CT 06902-3619 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Dave N Dela Cruz | 162-15 Laburnum Ave Apt 2, Flushing, NY 11358-3667 | Registered Nurse | 2013-03-01 ~ 2014-02-28 |
| Ava Magdaline Loresca Dela Cruz | 41 Dimiceli St, New Windsor, NY 12553-8721 | Physical Therapist | ~ |
| Elizabeth M Dela Cruz | 34 Old Park Lane Rd # A, New Milford, CT 06776-2508 | Registered Nurse | 2013-01-03 ~ 2014-03-31 |
Please comment or provide details below to improve the information on SERVILLANO E DELA CRUZ JR.
| 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).