MAUREEN A DOHERTY (Credential# 564693) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2018. The license expiration date date is July 31, 2019. The license status is INACTIVE.
MAUREEN A DOHERTY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047111-DO. The credential type is physician/surgeon. The effective date is August 1, 2018. The expiration date is July 31, 2019. The business address is 1613 N. Harrison Parkway, Sunrise, FL 33323. The current status is inactive.
| Licensee Name | MAUREEN A DOHERTY |
| Credential ID | 564693 |
| Credential Number | 1.047111-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
1613 N. Harrison Parkway Sunrise FL 33323 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-10-24 |
| Effective Date | 2018-08-01 |
| Expiration Date | 2019-07-31 |
| Refresh Date | 2019-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 518861 | CSP.0044827 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-11-17 | 2017-03-01 - 2019-02-28 | LAPSED |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maureen A Doherty | 274 Plymouth Street, Stratford, CT 06614 | Notary Public Appointment | 2008-09-01 ~ 2013-09-30 |
| Street Address | 1613 N. Harrison Parkway |
| City | Sunrise |
| State | FL |
| Zip Code | 33323 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rolan Sugatan Occe�a | 1580 Sawgrass Corporate Parkway Suite #200, Sunrise, FL 33323 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Katherine So Dayego | 1580 Sawgrasss Corporate Parkway Suite#200, Sunrise, CT 33323 | Physical Therapist | ~ |
| Mary Kris Joy Alcantara Aguilo | Blk 16 Lot 2 Parkplace Brgy. San Rafael Sto. Tomas, Sto. Tomas, CT 33323 | Physical Therapist | ~ |
| Nicholas Hogan Dibble | 11630 Nw 26th Street, Plantation, FL 33323 | Physical Therapist | 2019-06-13 ~ 2019-11-30 |
| Joseph Levi Staggenborg | 1301 Concord Terrace, Sunrise, FL 33323 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Kalenina Nathalia A Javier | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Candice Mae Franco Calonia | Medpro Health Care Staffing, Sunrise, FL 33323 | Physical Therapist | 2019-11-01 ~ 2020-11-30 |
| Estreno Pharmaceuticals LLC | 1560 Sawgrass Corporate Parkway, 4th Floor, Sunrise, FL 33323 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2019-08-01 ~ |
| Alicia Arpa | 1340 Concord Terrace, Sunrise, FL 33323 | Registered Nurse - Temporary | 2019-02-19 ~ 2019-06-19 |
| Alison M Carr | 11630 Nw 26th St, Fort Lauderdale, FL 33323 | Physical Therapist | 2019-06-11 ~ 2020-01-31 |
| Find all Licenses in zip 33323 | |||
| City | Sunrise |
| Zip Code | 33323 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Sunrise |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terrence A Doherty | 19 Halls Rd, Old Lyme, CT 06371 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael H Doherty, Md | 64 Greenwood Rd, Dublin, NH 03444-8220 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Leomerto A Somera | 9 Doherty Dr, Wallingford, CT 06492-2689 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Brianne Doherty | 206 W Broadway, Port Jefferson, NY 11777-1316 | Physician/surgeon | 2020-06-10 ~ 2021-04-30 |
| William J Doherty | Orthopedic Surg, Melrose, MA 02176 | Physician/surgeon | 1992-12-22 ~ 1993-10-31 |
| Harold E Doherty | 3175 Main St, Bridgeport, CT 06606 | Physician/surgeon | 2009-05-01 ~ 2010-04-30 |
| Philip J Doherty · Doherty Construction | 9 Orchard Hill Dr, Granby, CT 06035 | Home Improvement Contractor | 1996-01-17 ~ 1996-11-30 |
| Sean M Doherty · Doherty Painting | 169 Mungertown Rd, Madison, CT 06443 | Home Improvement Contractor | 1995-06-09 ~ 1995-11-30 |
| Maureen M Okam Md | 333 Cedar St, W W W-403, New Haven, CT 06520 | Physician/surgeon | 2005-08-24 ~ 2006-05-31 |
| Maureen P Mcevoy | 1 Emerson Pl Apt 7q, Boston, MA 02114-2207 | Physician/surgeon | 2016-02-23 ~ 2017-02-28 |
Please comment or provide details below to improve the information on MAUREEN A DOHERTY.
| 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).