AGNES L DALIVA (Credential# 555703) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 2, 2000. The license expiration date date is September 30, 2001. The license status is INACTIVE.
AGNES L DALIVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038113. The credential type is physician/surgeon. The effective date is October 2, 2000. The expiration date is September 30, 2001. The business address is 111 West High Street, Suite 207, Elkton, MD 21921. The current status is inactive.
Licensee Name | AGNES L DALIVA |
Credential ID | 555703 |
Credential Number | 1.038113 |
Credential Type | Physician/Surgeon |
Business Address |
111 West High Street, Suite 207 Elkton MD 21921 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1999-09-08 |
Effective Date | 2000-10-02 |
Expiration Date | 2001-09-30 |
Refresh Date | 2009-07-08 |
Street Address | 111 West High Street, Suite 207 |
City | Elkton |
State | MD |
Zip Code | 21921 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lillian Alt | 106 Bow St, Elkton, MD 21921 | Physician/surgeon | ~ |
Jerri Barnett | 27 Cherry Lane, Elkton, MD 21921 | Registered Nurse | 2016-12-01 ~ 2017-11-30 |
Lauren Kingsley Foreman | 281 Molitor Rd, Elkton, MD 21921 | Registered Nurse - Temporary | 2017-03-13 ~ 2017-07-10 |
Anna C Hammond | 6 John Adams Lane, Elkton, MD 21921 | Licensed Practical Nurse | 2009-05-01 ~ 2010-04-30 |
Kevin W Flanagan | 118 Bowling Lane, Elkton, MD 21921 | Asbestos Abatement Worker | 2002-02-11 ~ 2002-10-31 |
Thomas L Velotti | 137 Big Elk Mall, Elkton, MD 21921 | Podiatrist | 1994-09-12 ~ 1995-09-30 |
Karen M Szczepanik | 2734 Barksdale Road, Elkton, MD 21921 | Registered Nurse | 1996-02-16 ~ 1997-02-28 |
John A Exum Jr. | 300a4 Westcreek Village, Elkton, MD 21921 | Asbestos Abatement Worker | 2002-04-26 ~ 2002-07-31 |
Louis Davila | 105 Deerfield Road, Apt. B, Elkton, MD 21921 | Asbestos Abatement Supervisor | 2003-02-19 ~ 2004-02-29 |
Jennifer C Minton | 3 Hullihen Dr, Elkton, MD 21921-2002 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Find all Licenses in zip 21921 |
City | Elkton |
Zip Code | 21921 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Elkton |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Agnes S Kim | 49 Paxton Way, Glastonbury, CT 06033-3386 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Agnes S Song | 1098 Anderson Ave, Ft Lee, NJ 07024 | Physician/surgeon | 1996-08-14 ~ 1997-10-31 |
Ronald D Agnes Jr | 142 Robbins Circle, Dennis, MA 02638 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
David H Levien | St. Agnes Hospital, Baltimore, MD 21229 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
Agnes Q Banquet | 357 Knollwood Extension, Elmsford, NY 10523 | Physician/surgeon | 2003-11-24 ~ 2004-08-31 |
Andrew P Mezey | 21 Agnes Circle, Ardsley, NY 10502 | Physician/surgeon | 2009-04-08 ~ 2010-04-30 |
Lydia Agnes Josephs | 1300 Ridenour Blvd Suite 300, Kennesaw, GA 30152 | Physician/surgeon | 2020-04-27 ~ 2021-04-30 |
St. Agnes Home Inc. · St. Agnes Family Center | 104 Mayflower Street, West Hartford, CT 06110 | Maternity Home | 2005-07-01 ~ 2009-06-30 |
P Agnes Inc | 2101 Penrose Ave, Philadelphia, PA 19145-5614 | Major Contractor | 2015-07-01 ~ 2016-06-30 |
St Agnes Co-op Nursery Sch | 16 Haigh Avenue, East Lyme, CT 06357 | Child Care Center | ~ 1997-01-30 |
Please comment or provide details below to improve the information on AGNES L DALIVA.
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).