JEAN PARK (Credential# 1491369) is licensed (Physician/surgeon) 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.
JEAN PARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061305. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 6005 Nacot Place, New Albany, OH 43054. The current status is active.
| Licensee Name | JEAN PARK |
| Credential ID | 1491369 |
| Credential Number | 1.061305 |
| Credential Type | Physician/Surgeon |
| Business Address |
6005 Nacot Place New Albany OH 43054 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-04 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1520457 | CSP.0068569 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-06-05 | 2018-06-05 - 2019-02-28 | LAPSED |
| Street Address | 6005 Nacot Place |
| City | New Albany |
| State | OH |
| Zip Code | 43054 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine Jordan Swartz | 6005 Nacot Place, New Albany, OH 43054 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gerald S Shremshock · Shremshock Architects Inc. | 7400 W. Campus Rd, New Albany, OH 43054 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stefani Jo Jeffers | 4104 Harlem Road, New Albany, OH 43054 | Registered Nurse | ~ |
| Simon A Sekulovski | 7823 Calverton Sq, New Albany, OH 43054 | Emergency Medical Technician | ~ |
| Jaclyn Nicole Burgess | 7400 West Campus Rd., New Albany, OH 43054 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brenda Ellen Gomez | 6453 Albany Pond, New Albany, OH 43054 | Registered Nurse | 2020-03-10 ~ 2020-11-30 |
| Jeromy T Perry | 7400 W. Campus Rd., New Albany, OH 43054 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Shigeyoshi A Moroi | 5142 Settlement Drive, New Albany, OH 43054 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Dennis A Guenther | 44 Keswick Woods Drive, New Albany, OH 43054 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Anthony Michael Gastaldo | 5038 Notting Hill Dr., New Albany, OH 43054 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Jeffrey A Tibbitts | 8033 Clouse Road, New Albany, OH 43054 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 43054 | |||
| City | New Albany |
| Zip Code | 43054 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New Albany |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan H Spiro | 350 N Deere Park Dr, Highland Park, IL 60035 | Physician/surgeon | 1992-07-23 ~ 1993-07-31 |
| Hareem Park | 10 Park Row West, Providence, RI 02903 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Mark Andrew Ciagne | 3850 Park Nicollet Blvd, St. Louis Park, MN 55416 | Physician/surgeon | 2019-06-12 ~ 2020-03-31 |
| Jean K Yi | 2 Old Barn Ln, Malvern, PA 19355-3306 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Jean Rhee | 112 Independence Trl, Totowa, NJ 07512-2808 | Physician/surgeon | 2013-10-28 ~ 2014-01-31 |
| Jean Wong Md | 455 Lewis Ave Ste 210, Meriden, CT 06451-2121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jean M Weigert | 124 Hebron Ave Ste 1b, Glastonbury, CT 06033-2066 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Prathima Kanumuri | 12 Jean Dr, Towaco, NJ 07082-1216 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Smita Bhatt | 5 Jean Pl, Syosset, NY 11791-5914 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jean M Hennebery | 759 Chestnut St, Springfield, MA 01199-1001 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on JEAN PARK.
| 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).