ANTONIO J PAZ (Credential# 561417) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ANTONIO J PAZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043835. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 60 Old New Milford Rd Ste 3e, Brookfield, CT 06804-2414. The current status is active.
| Licensee Name | ANTONIO J PAZ |
| Credential ID | 561417 |
| Credential Number | 1.043835 |
| Credential Type | Physician/Surgeon |
| Business Address |
60 Old New Milford Rd Ste 3e Brookfield CT 06804-2414 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-09-28 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1265916 | CSP.0059398 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-02-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 891751 | CSP.0046303 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-09-20 | 2013-03-01 - 2015-02-28 | INACTIVE |
| 420244 | CSP.0038494 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-10-24 | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 60 OLD NEW MILFORD RD STE 3E |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-2414 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Valdet Nikci | 60 Old New Milford Rd Ste 3e, Brookfield, CT 06804-2414 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel N Fish | 60 Old New Milford Rd Ste 3e, Brookfield, CT 06804-2414 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William G Broadhurst | 22 Crestview Dr, Brookfield, CT 06804-2414 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juan Liang | 6 Tara Dr, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Lenore A Fox · Castellano | 16 Johns Rd, Brookfield, CT 06804 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Xuefang Chen | 13 Hillside Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
| J Scott Williams | 30 Obtuse Road South, Brookfield, CT 06804 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Liudmila Yakauleva | 317 Federal Road Suite C, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Brandi L Hennessey | 24 Riverview Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
| Medical Warehouse Inc | 72 Grays Bridge Rd, Brookfield, CT 06804 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Heather Lynn Edelmann | 87 Heatherwood Drive, Brookfield, CT 06804 | Notary Public Appointment | 2020-06-25 ~ 2025-06-30 |
| Xiaoming Zheng | 540 Federal Rd, Brookfield, Connecticut 06804, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Shop Rite | Federal Rd, Brookfield, CT 06804 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06804 | |||
| City | BROOKFIELD |
| Zip Code | 06804 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BROOKFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lionelle D Wells | San Antonio, TX 78232 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| Antonio A Sanchez | 355 S End Ave Apt 32c, New York, NY 10280-1013 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Sayed K Ali | 223 Larkwood Dr., San Antonio, TX 78209 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
| Antonio Ciccone | Po Box 599, Roseland, NJ 07068 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Roy D Russell Md | 18802 Agincourt, San Antonio, TX 78258 | Physician/surgeon | 2003-07-02 ~ 2004-07-31 |
| Masahiro Ono | 4499 Medical Dr. Suite#166, San Antonio, TX 78229 | Physician/surgeon | ~ |
| Wesam Aziz | 17806 W. Interstate 10, San Antonio, TX 78256 | Physician/surgeon | ~ |
| Antonio C Buzaid | Al Franca 626-4 A, Sao Paulo Sp, 01422000 | Physician/surgeon | 2001-05-18 ~ 2002-06-30 |
| Antonio Canaan | 570 Stonemont Dr, Ft Lauderdale, FL 33326-3501 | Physician/surgeon | 1993-12-20 ~ 1995-02-28 |
| Antonio Scappaticci Md | 625 Clark Ave, Bristol, CT 06010 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on ANTONIO J PAZ.
| 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).