RICHARD THOMAS JACKSON
Physician/surgeon


Address: 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141

RICHARD THOMAS JACKSON (Credential# 1675466) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.

Business Overview

RICHARD THOMAS JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064522. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is November 30, 2020. The business address is 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141. The current status is active.

Basic Information

Licensee Name RICHARD THOMAS JACKSON
Credential ID 1675466
Credential Number 1.064522
Credential Type Physician/Surgeon
Business Address 5220 Jimmy Lee Smith Pkwy
Hiram
GA 30141
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-11-01
Effective Date 2019-11-01
Expiration Date 2020-11-30
Refresh Date 2019-11-04

Office Location

Street Address 5220 Jimmy Lee Smith Pkwy
City Hiram
State GA
Zip Code 30141

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Roy Armand Poblete 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Physician/surgeon 2020-07-01 ~ 2021-06-30
Preet Martand Varade 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Physician/surgeon 2020-05-01 ~ 2021-04-30
Michael Katsnelson 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Physician/surgeon 2020-04-01 ~ 2021-03-31
Sebina Bulic 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Physician/surgeon 2020-02-01 ~ 2021-01-31
Alexander Zubkov 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Physician/surgeon 2019-11-01 ~ 2020-10-31
Nirav Himanshu Shah 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Physician/surgeon 2019-09-03 ~ 2020-09-30
Amirhossein Zangiabadi 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Physician/surgeon 2019-10-01 ~ 2020-09-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Lilian Moragwa Nyareru 114 High Point Way, Hiram, GA 30141 Registered Nurse 2020-07-01 ~ 2021-06-30
Mark N Rubin 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141 Physician/surgeon 2019-10-11 ~ 2020-10-31
Rolanda Jefferson 79 Kennedy Ct, Hiram, GA 30141 Registered Nurse - Temporary 2017-06-28 ~ 2017-10-25
Yolanda J Dillon 5220 Jimmy Lee Smith Pkwy Suite#104-249, Hiram, GA 30141 Real Estate Broker 2012-04-01 ~ 2013-03-31
Patricia M Brooks · Mayer 5102 Heritage Oaks Ln Sw, Hiram, GA 30141 Licensed Practical Nurse 2011-07-01 ~ 2012-06-30
Sarah A Atha 94 Wisteria Drive, Hiram, GA 30141 Registered Nurse 2009-05-28 ~ 2010-07-31
David J Craven 160 Pooles Bend Ct, Hiram, GA 30141 Electrical Unlimited Journeyperson 1996-10-01 ~ 1997-09-30
Bryan J Moore 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141 Physician/surgeon 2019-09-23 ~ 2020-07-31
Tamira Outlaw 373 Greystone Pkwy, Hiram, GA 30141-3162 Registered Nurse 2014-06-02 ~ 2015-06-30
Susanne N Miller 110 Trailside Way, Hiram, GA 30141-3271 Registered Nurse - Temporary 2014-04-17 ~ 2014-08-14
Find all Licenses in zip 30141

Competitor

Search similar business entities

City Hiram
Zip Code 30141
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Hiram

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Max G Jackson Jr 77 Pringle Way, Reno, NV 89502 Physician/surgeon 1977-02-07 ~ 1984-06-30
Jeffrey T Tyler 196 Jackson Ave, Stratford, CT 06497 Physician/surgeon 1981-11-02 ~ 1989-02-28
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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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