JULIANE LAINE DOUGLAS (Credential# 1454789) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JULIANE LAINE DOUGLAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004001. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is Naval Health Clinic Hawaii, Jbphh, HI 96860. The current status is active.
| Licensee Name | JULIANE LAINE DOUGLAS |
| Credential ID | 1454789 |
| Credential Number | 23.004001 |
| Credential Type | Physician Assistant |
| Business Address |
Naval Health Clinic Hawaii Jbphh HI 96860 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-11-08 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-12 |
| Street Address | Naval Health Clinic Hawaii |
| City | JBPHH |
| State | HI |
| Zip Code | 96860 |
| City | JBPHH |
| Zip Code | 96860 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + JBPHH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juliane Campbell | 7 Corey Colonial, Agawam, MA 01001-2725 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Juliane Mankowski | 33 Buttonwood Rd, Hebron, CT 06248-1550 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Char-laine Manor Inc. · Char-laine Manor | 15 Ellington Ave, Vernon Rockville, CT 06066-3234 | Residential Care Facility | 2018-01-01 ~ 2020-12-31 |
| Robert Laine · B. Laine & Sons Wood Flooring | 207 Old Colchester Rd, Amstom, CT 06231 | Home Improvement Contractor | 2004-02-05 ~ 2004-11-30 |
| Laine Fountain | 1 Mayberry Ct, Newport, RI 02840-2517 | Occupational Therapist Assistant | ~ |
| Douglas Hickok | Po Box 313, Bethel, PA 19507-0313 | Physician Assistant | 2019-02-01 ~ 2020-01-31 |
| Audrey Douglas | 26 John St, Derby, CT 06418 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Laurel J Harlamoff | 30 Douglas Ave. #a, Stamford, CT 06906 | Physician Assistant | 2003-05-01 ~ 2004-05-31 |
| Douglas L Kugel Pa-c | 10 Merrick Ct, Brewster, NY 10509 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Lauren Sloss | 12 Douglas Dr, Cumberland, RI 02864-1519 | Physician Assistant | 2018-07-02 ~ 2019-06-30 |
Please comment or provide details below to improve the information on JULIANE LAINE DOUGLAS.
| 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).