NICOLAS ACQUAVELLA PESANTES
Physician/surgeon


Address: 5618 Glenwood Road, Bethesda, MD 20817

NICOLAS ACQUAVELLA PESANTES (Credential# 565433) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2013. The license expiration date date is August 31, 2014. The license status is INACTIVE.

Business Overview

NICOLAS ACQUAVELLA PESANTES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047851. The credential type is physician/surgeon. The effective date is September 1, 2013. The expiration date is August 31, 2014. The business address is 5618 Glenwood Road, Bethesda, MD 20817. The current status is inactive.

Basic Information

Licensee Name NICOLAS ACQUAVELLA PESANTES
Credential ID 565433
Credential Number 1.047851
Credential Type Physician/Surgeon
Business Address 5618 Glenwood Road
Bethesda
MD 20817
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-06-25
Effective Date 2013-09-01
Expiration Date 2014-08-31
Refresh Date 2014-12-04

Other licenses

ID Credential Code Credential Type Issue Term Status
445824 CSP.0039695 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-08-10 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 5618 Glenwood Road
City Bethesda
State MD
Zip Code 20817

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Randi B Vannucchi 6409 Rock Forest Drive 101, Bethesda, MD 20817 Real Estate Broker 2020-04-01 ~ 2021-03-31
Peixin Shi 6909 Wilson Lane, Bethesda, MD 20817 Professional Engineer 2019-02-01 ~ 2020-01-31
David W Doar 8225 Stone Trail Dr, Bethesda, MD 20817 Professional Engineer 2019-02-01 ~ 2020-01-31
Michael L Lenkin 8204 Wahly Dr, Bethesda, MD 20817 Professional Engineer 2020-02-01 ~ 2021-01-31
Andrew T Schwartz 5900 Conway Rd, Bethesda, MD 20817 Professional Engineer 2020-02-01 ~ 2021-01-31
Christina Y Chang 7702 Maryknoll Ave., Bethesda, MD 20817 Physician/surgeon 2020-01-01 ~ 2020-12-31
Hmshost Foundation Inc 6905 Rockledge Drive, Bethesda, MD 20817 Public Charity 2019-12-01 ~ 2020-11-30
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Competitor

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City Bethesda
Zip Code 20817
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Bethesda

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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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