JUSTIN G FORD (Credential# 1149426) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2014. The license expiration date date is July 31, 2015. The license status is INACTIVE.
JUSTIN G FORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051869-DO. The credential type is physician/surgeon. The effective date is August 1, 2014. The expiration date is July 31, 2015. The business address is 210 19th Ave A, Seattle, WA 98122. The current status is inactive.
| Licensee Name | JUSTIN G FORD |
| Credential ID | 1149426 |
| Credential Number | 1.051869-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
210 19th Ave A Seattle WA 98122 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-04-30 |
| Effective Date | 2014-08-01 |
| Expiration Date | 2015-07-31 |
| Refresh Date | 2015-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1162059 | CSP.0054664 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-05-10 | 2013-05-10 - 2015-02-28 | INACTIVE |
| 1186792 | CSP.0056194 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-09-27 - | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin G Ford | 1 Fischer Rd, Hartford, CT 06120-1608 | Emergency Medical Responder | 2019-07-01 ~ 2022-06-30 |
| Street Address | 210 19th Ave A |
| City | Seattle |
| State | WA |
| Zip Code | 98122 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ronald M Matyjas | 211 Euclid Ave, Seattle, WA 98122 | Architect | 2020-08-01 ~ 2021-07-31 |
| Riverview Ss, LLC | 1816 11th Avenue, Seattle, WA 98122 | Securities - Reg. D Exemptions | 2020-01-07 ~ |
| Cambium Capital Partners Spv I, Lp | 1424 11th Avenue, Seattle, WA 98122 | Securities - Exemptions | 2019-12-09 ~ |
| Dana S Dobkowski | 412 11th Ave, Seattle, WA 98122 | Hairdresser/cosmetician | 2019-10-01 ~ 2021-09-30 |
| Grace C Mellor | 120 Broadway, Seattle, WA 98122 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Makie Suzuki | 505 E. Denny Way Unit 202, Seattle, WA 98122 | Landscape Architect | 2019-08-01 ~ 2020-07-31 |
| Katherine B Liss | 1522 East Olive Way, Seattle, WA 98122 | Landscape Architect | 2019-08-01 ~ 2020-07-31 |
| Aaron G Young | 949 30th Ave, Seattle, WA 98122 | Architect | 2017-08-01 ~ 2018-07-31 |
| James Julius Moorhead Jr | 417 East Pine St #309, Seattle, WA 98122 | Architect | 2002-08-20 ~ 2003-07-31 |
| Carla P Odiaga | 1132 19th Avenue, Seattle, WA 98122 | Registered Nurse | 2004-04-15 ~ 2004-12-31 |
| Find all Licenses in zip 98122 | |||
| City | Seattle |
| Zip Code | 98122 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Seattle |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nripal Kar Md | 126 Ford St, Ansonia, CT 06401 | Physician/surgeon | 2003-10-28 ~ 2004-05-20 |
| Wenping Li | 406 Curry Ford Ln, Gaithersburg, MD 20878-2753 | Physician/surgeon | 2014-06-30 ~ 2015-03-31 |
| Shirin Mahooti Md | 127 Tally Ho Dr, Chadds Ford, PA 19317-9721 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Harvey J Kliman Md | 161 Ford Road, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| James J Ford | 431 Wethersfield Street, Rowley, MA 01969 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Katherine Baranowski | 19 Ford Lane, Roseland, NJ 07068 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
| Kerry K Ford | 341 Tenth Avenue, Royersford, PA 19468 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
| Dee Walker Ford | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lisa M Ford-williams | 9 Beekman Place, Morristown, NJ 07960 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
| Laura S Inselman | 15 Grouse Trail, Chadds Ford, PA 19317 | Physician/surgeon | 1994-09-12 ~ 1995-11-30 |
Please comment or provide details below to improve the information on JUSTIN G FORD.
| 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).