CECILIA AVILA (Credential# 557474) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
CECILIA AVILA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039891. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 111 Jones Ave., Port Jefferson, NY 11777. The current status is active.
| Licensee Name | CECILIA AVILA |
| Credential ID | 557474 |
| Credential Number | 1.039891 |
| Credential Type | Physician/Surgeon |
| Business Address |
111 Jones Ave. Port Jefferson NY 11777 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-09-24 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 355693 | CSP.0034249 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 111 JONES AVE. |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yu Kan Au | 23 Texaco Ave, Port Jefferson, NY 11777 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| James R Grundhoffer | 108 Dogwood Road, Port Jefferson, NY 11777 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Steve M Nenninger | 109 Randall Ave, Port Jefferson, NY 11777 | Naturopathic Physician | 2019-12-01 ~ 2020-11-30 |
| Matthew Bardram · Jason Witover/prof Chimney Company | 101 Peninsula Drive, Port Jefferson, NY 11777 | Home Improvement Salesperson | 1998-12-24 ~ 1999-11-30 |
| Craig H Rosenberg | 112 Cliff Road, Port Jefferson, NY 11777 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Christopher C Voorhis | 17 Buena Vista Rd, Port Jefferson, NY 11777 | Engineer-in-training | 2006-03-16 ~ 2016-03-16 |
| Howard L Elman | 31 Old Post Rd, Jefferson, NY 11777 | Professional Engineer | 1989-02-21 ~ 1990-01-31 |
| John A Grillo | 1213 Main Street, Pt Jefferson, NY 11777 | Architect | 2012-08-01 ~ 2013-07-31 |
| Saverio Governale | 17 Baylis Ave, Port Jefferson, NY 11777 | Electrical Unlimited Contractor | ~ |
| Michael R Loehr · Digital Communications Solutions Inc | 209 Owasco Dr, Port Jefferson, NY 11777 | Electrical Limited Contractor | ~ |
| Find all Licenses in zip 11777 | |||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PORT JEFFERSON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlos A Hernandez-avila | 11 Ridgeview Dr, Farmington, CT 06032 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Sam D Toney | 16304 Avila Blvd, Tampa, FL 33613-1035 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Amanda Jane Avila | 15050 Elderberry Lane, Fort Myers, FL 33907 | Physician/surgeon | ~ |
| Cecilia K Karol | 79 Sherwood Rd, Tenafly, NJ 07670-2734 | Physician/surgeon | 1961-09-05 ~ 1983-01-31 |
| Cecilia Canto Helwig | 800 Howard Ave, New Haven, CT 06519 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Cecilia Gimenez | 254-13 73rd Rd., Glen Oaks, NY 11004 | Physician/surgeon | 2011-01-01 ~ 2011-12-31 |
| Cecilia Minano | 98 Jefferson Avenue, Valhalla, NY 10595 | Physician/surgeon | 2012-05-01 ~ 2013-05-31 |
| Ana Cecilia Lorenzo | 6223 Crestmere Drive, Dallas, TX 75254 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
| Maria Cecilia C Asnis | 292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Amanda Cecilia Ayala | 10 Commerce Ave Sw Apt 1107, Grand Rapids, MI 49503-6422 | Physician/surgeon | ~ |
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| 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).