MARIANA FERNANDEZ MD (Credential# 558144) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 7, 2004. The license expiration date date is June 30, 2005. The license status is INACTIVE.
MARIANA FERNANDEZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040561. The credential type is physician/surgeon. The effective date is May 7, 2004. The expiration date is June 30, 2005. The business address is 39 Buckland St Apt 412-2, Manchester, CT 06040. The current status is inactive.
| Licensee Name | MARIANA FERNANDEZ MD |
| Credential ID | 558144 |
| Credential Number | 1.040561 |
| Credential Type | Physician/Surgeon |
| Business Address |
39 Buckland St Apt 412-2 Manchester CT 06040 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-06-24 |
| Effective Date | 2004-05-07 |
| Expiration Date | 2005-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 312764 | CSP.0032302 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 39 BUCKLAND ST APT 412-2 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mariana Marcu | 112-12 68th Rd, Forest Hills, NY 11375 | Physician/surgeon | 2000-06-14 ~ 2001-01-31 |
| Mariana Murea | 15 Ridge Drive, East Providence, RI 02914 | Physician/surgeon | 2004-11-12 ~ 2006-01-31 |
| Mariana Salas-vega | One Shaws Cove, New London, CT 06320 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Alexander J Fernandez | 4 Middlebury Ct, Dearborn, MI 48120 | Physician/surgeon | 2008-10-10 ~ 2009-09-30 |
| Mariana Fernandez Lozada | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Antonio B Fernandez | 67 Ridgewood Rd, West Hartford, CT 06107 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Andre N Fernandez | 501 Darby Creek Rd, Lexington, KY 40509 | Physician/surgeon | 2009-12-01 ~ 2010-11-30 |
| Emy Leah R Fernandez | 25 Swan Road, Mahwah, NJ 07430 | Physician/surgeon | 2006-03-01 ~ 2007-01-31 |
| Leonardo A Fernandez | 106 Barker Hill, Guilford, CT 06437 | Physician/surgeon | 2005-12-05 ~ 2006-12-31 |
| Claudia R Fernandez Robles | 360 State St Apt 1916, New Haven, CT 06510-3617 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).