BRANDON LUSANE DAWKINS (Credential# 1397948) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
BRANDON LUSANE DAWKINS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056616. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 535 N. Central Avenue, Hapeville, GA 30354. The current status is active.
Licensee Name | BRANDON LUSANE DAWKINS |
Credential ID | 1397948 |
Credential Number | 1.056616 |
Credential Type | Physician/Surgeon |
Business Address |
535 N. Central Avenue Hapeville GA 30354 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-07-03 |
Effective Date | 2019-08-01 |
Expiration Date | 2020-07-31 |
Refresh Date | 2019-07-19 |
Street Address | 535 N. Central Avenue |
City | Hapeville |
State | GA |
Zip Code | 30354 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shirley Ann Peterson | 480 King Arnold Street Apt#d5, Hapeville, GA 30354 | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
Martell M Hawkins | Po Box 82449, Atlanta, GA 30354-0449 | Advanced Practice Registered Nurse | 2019-11-14 ~ 2020-10-31 |
Triumph Motorcycles America Ltd | 100 Hartsfield Center Pkwy, Atlanta, GA 30354-1341 | Motor Vehicle Manufacturer (llm) | ~ |
Porsche Cars North America Inc | 1 Porsche Dr, Atlanta, GA 30354-1654 | Motor Vehicle Manufacturer (llm) | ~ |
City | Hapeville |
Zip Code | 30354 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Hapeville |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephen A Dawkins | 3 Cascade Rd, Atlanta, GA 30331 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Claire Brandon | 116 W 23rd St Fl 5, New York, NY 10011-2599 | Physician/surgeon | ~ |
Matthew P Brennan | 136 Copperridge Dr, Brandon, MS 39042-3700 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Stuart A Goldsmith | 615 Vonderberg Dr, Brandon, FL 33511 | Physician/surgeon | 2009-07-31 ~ 2010-04-30 |
William L Roberts | 3 Sandway Dr, Brandon, MS 29042 | Physician/surgeon | 1994-07-13 ~ 1995-07-31 |
Brandon W. Chan | 126 Marlboro Dr, Mcmurray, PA 15317-3651 | Physician/surgeon | 2014-03-28 ~ 2014-09-30 |
Brandon Brooks | 21805 136th Ave, Laurelton, NY 11413-2205 | Physician/surgeon | ~ |
Brandon Shulman | 2 Riverview Dr, Danbury, CT 06810-6268 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Joseph Annichiarico Do | 139 Brandon Way, Georgetown, SC 29440 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Philip S Spencer | 16 Brandon Crest Ct, Hauppauge, NY 11788 | Physician/surgeon | 2004-03-30 ~ 2004-12-31 |
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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).