YVETTE L CRUZ PA (Credential# 743146) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 21, 2007. The license expiration date date is December 31, 2008. The license status is INACTIVE.
YVETTE L CRUZ PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001397. The credential type is physician assistant. The effective date is December 21, 2007. The expiration date is December 31, 2008. The business address is 1371 Lancelot Way, Casselberry, FL 32707. The current status is inactive.
Licensee Name | YVETTE L CRUZ PA |
Credential ID | 743146 |
Credential Number | 23.001397 |
Credential Type | Physician Assistant |
Business Address |
1371 Lancelot Way Casselberry FL 32707 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2003-10-02 |
Effective Date | 2007-12-21 |
Expiration Date | 2008-12-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
353404 | CSP.0034295 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-01 - 2008-02-29 | INACTIVE |
Street Address | 1371 LANCELOT WAY |
City | CASSELBERRY |
State | FL |
Zip Code | 32707 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Edgardo B Mateo II | 1211 Semoran Blvd Suite 227, Casselberry, FL 32707 | Physical Therapist | 2019-09-23 ~ 2019-12-31 |
Jitesh D Gajera | 1437 Waukon Circle, Casselberry, FL 32707 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Jignesh S Vyas | 1920 Varick Way, Casselberry, FL 32707 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Thomas Kevin Q Barrozo | C/o Avant Healthcare Professionals, Casselberry, FL 32707 | Physical Therapist | 2017-09-01 ~ 2018-08-31 |
Ivan Dale Orienza | 1211 Semoran Blvd Ste 227, Casselberry, FL 32707 | Physical Therapist | 2017-08-01 ~ 2018-07-31 |
Beverly B Palmer | 304 N Cypress Way, Casselberry, FL 32707 | Registered Nurse | 2017-07-01 ~ 2018-06-30 |
Joshua Budny | 906 Osceola Trail, Casselberry, FL 32707 | Registered Nurse - Temporary | 2017-07-06 ~ 2017-11-02 |
Georgejean M Reichert | 427 Greyford Lane, Casselberry, FL 32707 | Licensed Practical Nurse | 2016-05-01 ~ 2017-04-30 |
Man In The Mirror Inc. | 180 Wilshire Boulevard, Casselberry, FL 32707 | Public Charity-exempt From Financial Requirements | ~ |
Edito S Masangcay · C E Maguire Inc | 229 Hancock Court, Casselberry, FL 32707 | Professional Engineer | 1991-01-22 ~ 1992-01-31 |
Find all Licenses in zip 32707 |
City | CASSELBERRY |
Zip Code | 32707 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + CASSELBERRY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amanda A Cruz | 9 Jamestown Cir, Wallingford, CT 06492-2138 | Physician Assistant | 2013-06-03 ~ 2014-06-30 |
Annette I Cruz Pa-c | 604 Galera Ln, Mount Pleasant, SC 29464-8318 | Physician Assistant | 2016-06-01 ~ 2017-05-31 |
Andrew M Cruz | 3354 83rd St Apt E31, Jackson Heights, NY 11372-1480 | Physician Assistant | ~ |
Yvette Cruz | 23 Cherbrooke Avenue, Hartford, CT 06106 | Notary Public Appointment | 1998-12-31 ~ 2003-12-31 |
Yvette I Torres | 710 Long Ridge Rd., Stamford, CT 06902 | Physical Therapist Assistant | 2001-02-20 ~ 2006-11-01 |
Yvette Sanders | 429 Connecticut Ave, Bridgeport, CT 06607-1017 | Family Child Care Assistant | 2009-11-02 ~ 2011-10-31 |
Yvette Quinones | 897 Pearl Harbor St, Bridgeport, CT 06610-2328 | Family Child Care Assistant | ~ |
Yvette Bunting | 41 Old Tavern Road, Orange, CT 06477 | Family Child Care Assistant | 1998-04-30 ~ 1998-04-30 |
Yvette A Mcdonald | 33 Yvette St, Chicopee, MA 01020-2229 | Pharmacy Technician | 2015-04-01 ~ 2016-03-31 |
Yvette Garner | 103 Meadow Brook Rd., West Hartford, CT 06107 | Family Child Care Assistant | 1996-06-30 ~ 1996-06-30 |
Please comment or provide details below to improve the information on YVETTE L CRUZ PA.
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).