ELIZABETH D JOHNSTON
Physician Assistant


Address: 225 Newbury St Apt 3f, Boston, MA 02116-2522

ELIZABETH D JOHNSTON (Credential# 1229426) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.

Business Overview

ELIZABETH D JOHNSTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003149. The credential type is physician assistant. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 225 Newbury St Apt 3f, Boston, MA 02116-2522. The current status is inactive.

Basic Information

Licensee Name ELIZABETH D JOHNSTON
Credential ID 1229426
Credential Number 23.003149
Credential Type Physician Assistant
Business Address 225 Newbury St Apt 3f
Boston
MA 02116-2522
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-07-17
Effective Date 2017-11-01
Expiration Date 2018-10-31
Refresh Date 2019-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1235443 CSP.0058229 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-07-19 2015-03-01 - 2017-02-28 INACTIVE
823065 69.005642 Emergency Medical Responder 2005-08-12 2005-08-12 - 2007-04-01 INACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Elizabeth D Johnston 14 Lees Lane, Westport, CT 06880 Emergency Medical Technician 2008-06-20 ~ 2010-07-01

Office Location

Street Address 225 NEWBURY ST APT 3F
City BOSTON
State MA
Zip Code 02116-2522

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Competitor

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City BOSTON
Zip Code 02116
License Type Physician Assistant
License Type + County Physician Assistant + BOSTON

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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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