JORGE ALBA (Credential# 561240) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.
JORGE ALBA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043658-DO. The credential type is physician/surgeon. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 21 Fir Grove Rd, Manchester, CT 06040-7140. The current status is inactive.
| Licensee Name | JORGE ALBA |
| Credential ID | 561240 |
| Credential Number | 1.043658-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
21 Fir Grove Rd Manchester CT 06040-7140 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-07-19 |
| Effective Date | 2017-11-01 |
| Expiration Date | 2018-10-31 |
| Refresh Date | 2019-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2050640 | 1 | Physician/Surgeon | - | PENDING |
| Street Address | 21 FIR GROVE RD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-7140 |
| 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 |
|---|---|---|---|
| Jorge Ramos | 346 Alden Ave, New Haven, CT 06515-2123 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Jorge Lodeiro | 14 Currier Way, Cheshire, CT 06410-1429 | Physician/surgeon | 1983-04-20 ~ 1988-03-31 |
| Jorge A Oceguera | 6 Fairmount Ave, Yonkers, NY 10701 | Physician/surgeon | 2001-05-11 ~ 2002-02-28 |
| Jorge A. Dabdoub Md | 12 Case St Ste 104, Norwich, CT 06360 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jorge Rios | 180 Rustcraft Rd Ste 115, Dedham, MA 02026-4551 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jorge R Dejesus-miranda | St 1 #12, Guaynabo, PR 00968 | Physician/surgeon | 2011-10-01 ~ 2012-09-30 |
| Jorge E Otero | 22 Turtle Bay Dr, Branford, CT 06405-4970 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jorge A Ramirez Md | Eden Prairie, MN 55344 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Jorge A Melendez | 4540 N Armenia Ave, Tampa, FL 33603-2741 | Physician/surgeon | 1975-06-20 ~ 1976-08-31 |
| Jorge Ignacio Elias Md | 7 Leonard St, Norwalk, CT 06850 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JORGE ALBA.
| 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).