EUGENE JOSEPH FONTENOT JR (Credential# 555251) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 12, 1999. The license expiration date date is January 31, 2001. The license status is INACTIVE.
EUGENE JOSEPH FONTENOT JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037661. The credential type is physician/surgeon. The effective date is November 12, 1999. The expiration date is January 31, 2001. The business address is 53 Brian Lane, Avon, CT 06001. The current status is inactive.
| Licensee Name | EUGENE JOSEPH FONTENOT JR |
| Credential ID | 555251 |
| Credential Number | 1.037661 |
| Credential Type | Physician/Surgeon |
| Business Address |
53 Brian Lane Avon CT 06001 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1999-04-09 |
| Effective Date | 1999-11-12 |
| Expiration Date | 2001-01-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 53 BRIAN LANE |
| City | AVON |
| State | CT |
| Zip Code | 06001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + AVON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Fontenot | 299 Washington Ave, Hamden, CT 06518 | Physician/surgeon | 1993-12-27 ~ 1995-02-28 |
| Joseph Eugene Flack | 135 Forest Glen Rd, Longmeadow, MA 01106-1116 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Eugene Kim | 615 W 131st St Fl 3, New York, NY 10027-7922 | Physician/surgeon | ~ |
| Eugene M Wasserman Md | 1 Theall Rd, Rye, NY 10580 | Physician/surgeon | 2008-02-14 ~ 2009-03-31 |
| Eugene A Burke | 270 Jay St, Brooklyn, NY 11201 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Eugene F Lawlor IIi | Po Box 9, Unionville, CT 06085 | Physician/surgeon | 2003-10-21 ~ 2004-11-30 |
| Eugene J D'adamo | 33 Cedar St, Rye, NY 10580 | Physician/surgeon | 1996-09-05 ~ 1997-08-31 |
| Eugene Shih | 170 Park Row Apt 18b, New York, NY 10038 | Physician/surgeon | 1999-11-03 ~ 2000-10-31 |
| Eugene Orientale Jr | 58 Rampart Dr, Glastonbury, CT 06033 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Eugene H Lewis IIi | 125 Oyster Rd, Fairfield, CT 06824-6927 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on EUGENE JOSEPH FONTENOT 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).