FERNANDO AFONSO MD (Credential# 950269) 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.
FERNANDO AFONSO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049205. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 5 Wisteria Ln, Oxford, CT 06478. The current status is active.
| Licensee Name | FERNANDO AFONSO MD |
| Credential ID | 950269 |
| Credential Number | 1.049205 |
| Credential Type | Physician/Surgeon |
| Business Address |
5 Wisteria Ln Oxford CT 06478 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-09-14 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 953674 | CSP.0048990 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-09-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 5 Wisteria Ln |
| City | OXFORD |
| State | CT |
| Zip Code | 06478 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robin M Michalak | 5 Macintosh Drive, Oxford, CT 06478 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Robin M Ambrosio | 3 Lolly Lane, Oxford, CT 06478 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoon Jeon | 312 Oxford Rd, Oxford, CT 06478 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Jacqueline R Sanz Pa | 221 Goodhill Rd, Oxford, CT 06478 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Sharon A Ritton-holly · Mcgowan | 5 Evergreen Lane, Oxford, CT 06478 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Anna B Valko | 6 Jem Woods Road, Oxford, CT 06478 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Southbury Baking Company LLC | 83 Prokop Road, Oxford, CT 06478 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Leanne C Hovhannissian | 25 Belinsky Circle, Oxford, CT 06478 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Andy Petitti | 5 Benson Road, Oxford, CT 06478 | Cross Connection Survey Inspector | 2020-04-01 ~ 2023-03-31 |
| Lynn Ann Wilkison | 6 Silano Drive, Oxford, CT 06478 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Find all Licenses in zip 06478 | |||
| City | OXFORD |
| Zip Code | 06478 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OXFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fernando Losada | Po Box 155, Sharon, CT 06069 | Physician/surgeon | 2004-03-30 ~ 2005-03-31 |
| Fernando Mejia | Box 508, Norwich, CT 06360 | Physician/surgeon | 1995-05-26 ~ 1996-06-30 |
| Fernando R Diaz | 14171 Valentine Trl, Largo, FL 33774-2834 | Physician/surgeon | ~ |
| Fernando J. Martinez | 300 Cedar St # Tacs441, New Haven, CT 06519-1612 | Physician/surgeon | ~ |
| Fernando E Ottino | 40 Prospect Ave., Norwalk, CT 06850 | Physician/surgeon | 2009-06-19 ~ 2009-11-30 |
| Fernando Sanchez Md | 1 Washington Sq, New Britain, CT 06051 | Physician/surgeon | 1998-01-13 ~ 1999-02-28 |
| Sanjay Fernando Md | 1 Herald Sq, New Britain, CT 06051-5006 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kumudhini Fernando | 46 Grouse Ln, Woodbridge, CT 06525-1451 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Fernando P Saracco | 2690 Whitney Ave, Hamden, CT 06518 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Fernando L Almenas | 1185 Main St Ste 2, Willimantic, CT 06226-2093 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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| 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).