JENIFER M JOHNSON (Credential# 1214494) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JENIFER M JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053095. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 46 Overton Rd, Scarsdale, NY 10583. The current status is active.
| Licensee Name | JENIFER M JOHNSON |
| Credential ID | 1214494 |
| Credential Number | 1.053095 |
| Credential Type | Physician/Surgeon |
| Business Address |
46 Overton Rd Scarsdale NY 10583 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-06-02 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1214001 | CSP.0056915 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 46 Overton Rd |
| City | Scarsdale |
| State | NY |
| Zip Code | 10583 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason Moshe B Shuker | 46 Overton Rd, Scarsdale, NY 10583-3611 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Calin M Petrescu | 11 Crossway, Scarsdale, NY 10583 | Architect | 2020-08-01 ~ 2021-07-31 |
| Hal R Mendel | 386 Heathcote Rd, Scarsdale, NY 10583 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Barbara Exavier Clark | 34 Robin Hill Rd, Scarsdale, NY 10583 | Master's Level Social Worker | ~ |
| James A Cicalo | 11 Parkway Circle, Scarsdale, NY 10583 | Architect | 2020-08-01 ~ 2021-07-31 |
| Erica F Christ | 20 Livingston Road, Scarsdale, NY 10583 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
| Paul F Waters | 55 Mamaroneck Rd, Scarsdale, NY 10583 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Russell Grant | 1198 Post Road, Scarsdale, NY 10583 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jessica P Chan | 126 Edgemont Rd, Scarsdale, NY 10583 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Gary D Beane | 60 Mount Joy Avenue, Scarsdale, NY 10583 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Russell B Hamlin | 102 Brite Ave, Scarsdale, NY 10583 | Architect | 2018-08-01 ~ 2019-07-31 |
| Find all Licenses in zip 10583 | |||
| City | Scarsdale |
| Zip Code | 10583 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Scarsdale |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ray W Johnson | Po Box 10730, Prescott, AZ 86304-0730 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Rebecca L Johnson | P.o. Box 524, Richmond, MA 01254 | Physician/surgeon | 1995-07-27 ~ 1996-08-31 |
| Frank Johnson | 17 Mckinley St, Bronxville, NY 10708-1806 | Physician/surgeon | ~ |
| Catherine S Giess | 28 Johnson Place, Rye, NY 10580 | Physician/surgeon | 2008-05-02 ~ 2009-06-30 |
| Kenneth T Johnson | 51 Berkshire Dr, Farmington, CT 06032 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Dennis R Johnson | 549 Lowell St, Lexington, MA 02420-1918 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Kendall Johnson | 85 Seymour St, Hartford, CT 06106-5501 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard A Johnson | 825 Cornwall Ave, Cheshire, CT 06410-2617 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mary E Johnson | 88 Ridgewood Ave, Waterford, CT 06385 | Physician/surgeon | 1993-06-24 ~ 1994-01-03 |
| Gail M Sullivan | 31 Old Johnson Rd, Durham, CT 06422 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on JENIFER M JOHNSON.
| 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).