KEITH A HERNANDEZ MD
Physician/surgeon


Address: 193 River Rd, Madison, CT 06443

KEITH A HERNANDEZ MD (Credential# 562453) 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.

Business Overview

KEITH A HERNANDEZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044871. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 193 River Rd, Madison, CT 06443. The current status is active.

Basic Information

Licensee Name KEITH A HERNANDEZ MD
Credential ID 562453
Credential Number 1.044871
Credential Type Physician/Surgeon
Business Address 193 River Rd
Madison
CT 06443
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2006-10-30
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-04-16

Other licenses

ID Credential Code Credential Type Issue Term Status
380950 CSP.0036228 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-09-10 2019-03-01 - 2021-02-28 ACTIVE
458048 CSP.0040954 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - INACTIVE

Office Location

Street Address 193 River Rd
City Madison
State CT
Zip Code 06443

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Caitlyn Beverly Darosa Lyle Dr, Madison, CT 06443 Registered Nurse ~
Roberts Food Center · Rjf Inc Dba 514 Old Toll Rd, Madison, CT 06443 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Karen D Leonetti · Rapuano 553 Green Hill Rd, Madison, CT 06443 Radiographer 2020-09-01 ~ 2021-08-31
Pasquale Sabatasso 122 River Edge Farms Road, Madison, CT 06443 Barber 2020-07-01 ~ 2022-06-30
Madision Health Foods · Jum Ok Coker 59 Wall St, Madison, CT 06443 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Madison Community Services Inc. P.o. Box 148, Madison, CT 06443 Public Charity 2020-12-01 ~ 2021-11-30
Shaina Michele Levinson 52 East Wharf Rd, Madison, CT 06443 Master's Level Social Worker ~
Stephen G Lynch · Lynch, Stephen Gerard 12 Milestone Lane, Madison, CT 06443 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
David F Courtney Md 38 Old Duck Hole Road, Madison, CT 06443 Physician/surgeon 2020-07-01 ~ 2021-06-30
Sydni E Marmor 560 Opening Hill Road, Madison, CT 06443 Professional Counselor 2020-07-01 ~ 2021-06-30
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Competitor

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City Madison
Zip Code 06443
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Madison

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Frank Hernandez 21 Knollwood Rd, Farmington, CT 06032-1048 Physician/surgeon 2012-05-01 ~ 2013-04-30
Juan R Hernandez 27 Nettleton Drive, Woodbridge, CT 06525 Physician/surgeon 2020-03-01 ~ 2021-02-28
Hillary S Hernandez-trujillo 282 Washington St, Hartford, CT 06106 Physician/surgeon 2020-07-01 ~ 2021-06-30
Angelica M Hernandez 69 Gold Street, New York, NY 10038 Physician/surgeon 2003-10-24 ~ 2004-10-31
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Carlos A Hernandez-avila 11 Ridgeview Dr, Farmington, CT 06032 Physician/surgeon 2020-02-01 ~ 2021-01-31
Jorge E Hernandez 201 Regan Road #17a, Vernon, CT 06066 Physician/surgeon 1995-09-27 ~ 1996-09-30
Juan M Hernandez-trujillo 2475 North Ave, Bridgeport, CT 06604 Physician/surgeon 2004-09-15 ~ 2005-11-30

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Dataset Information

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).

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