LYDIA AGNES JOSEPHS
Physician/surgeon


Address: 1300 Ridenour Blvd Suite 300, Kennesaw, GA 30152

LYDIA AGNES JOSEPHS (Credential# 2014808) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 27, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

LYDIA AGNES JOSEPHS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065322. The credential type is physician/surgeon. The effective date is April 27, 2020. The expiration date is April 30, 2021. The business address is 1300 Ridenour Blvd Suite 300, Kennesaw, GA 30152. The current status is active.

Basic Information

Licensee Name LYDIA AGNES JOSEPHS
Credential ID 2014808
Credential Number 1.065322
Credential Type Physician/Surgeon
Business Address 1300 Ridenour Blvd Suite 300
Kennesaw
GA 30152
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-04-27
Effective Date 2020-04-27
Expiration Date 2021-04-30
Refresh Date 2020-04-28

Other licenses

ID Credential Code Credential Type Issue Term Status
2038593 CSP.0073775 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-04-27 2020-04-27 - 2021-02-28 ACTIVE

Office Location

Street Address 1300 RIDENOUR BLVD SUITE 300
City KENNESAW
State GA
Zip Code 30152

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Natassha M Ahmed 2268 Northbrook Ridge Nw, Kennesaw, GA 30152 Registered Nurse 2019-10-25 ~ 2020-08-31
Samantha Guiher 1431 Pine Springs Dr Nw, Kennesaw, GA 30152 Registered Nurse 2019-10-10 ~ 2020-10-31
Michelle Marie Ammons 3635 Davidson Farm Dr. Nw, Kennesaw, GA 30152 Registered Nurse 2018-01-17 ~ 2018-12-31
Meaghan Claire Hartmann 1607 Marsanne Terrace, Kennesaw, GA 30152 Registered Nurse 2017-11-01 ~ 2018-11-30
Linda Michelle Finnerty 2641 Laurel Ln Nw, Kennesaw, GA 30152 Registered Nurse - Temporary 2018-11-01 ~ 2019-03-01
Karen A Harmon 2738 Allyn Way, Kennesaw, GA 30152 Registered Nurse 2017-06-01 ~ 2018-05-31
Lisa Wiredu-asante 1777 Willow Branch Lane, Kennesaw, GA 30152 Registered Nurse - Temporary 2017-05-18 ~ 2017-09-14
Thomas J Burky 6170 Due West Road, Kennesaw, GA 30152 Heating, Piping & Cooling Limited Contractor ~
Janet Beth C Leoni 2158 Southbrook Ridge Nw, Kennesaw, GA 30152 Real Estate Salesperson 2006-06-01 ~ 2007-05-31
Sean A Nicholl 2026 Rocky Point Bluff, Kennesaw, GA 30152 Professional Engineer 1997-04-02 ~ 1998-01-31
Find all Licenses in zip 30152

Competitor

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City KENNESAW
Zip Code 30152
License Type Physician/Surgeon
License Type + County Physician/Surgeon + KENNESAW

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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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