ANTHONY JOSEPH WILLIS (Credential# 2041657) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is PENDING.
ANTHONY JOSEPH WILLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is Po Box 1619, Coeur D Alene, ID 83816-1619. The current status is pending.
| Licensee Name | ANTHONY JOSEPH WILLIS |
| Credential ID | 2041657 |
| Credential Number | 1 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 1619 Coeur D Alene ID 83816-1619 |
| Business Type | INDIVIDUAL |
| Status | PENDING - PENDING |
| Refresh Date | 2020-05-04 |
| Street Address | PO BOX 1619 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83816-1619 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John W Boardman | Po Box 1619, Coeur D Alene, ID 83816-1619 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Suzanne Lei Aquino | Po Box 1619, Coeur D Alene, ID 83816-1619 | Physician/surgeon | ~ |
| Shree Jayendra Shah | Po Box 1619, Coeur D Alene, ID 83816-1619 | Physician/surgeon | ~ |
| Dishant Girish Shah | Po Box 1619, Coeur D Alene, ID 83816-1619 | Physician/surgeon | ~ |
| William Joseph Rusnak | Po Box 1619, Coeur D Alene, ID 83816-1619 | Physician/surgeon | ~ |
| Patrick Joseph Burke | Po Box 1619, Coeur D Alene, ID 83816-1619 | Physician/surgeon | ~ |
| Syed Ali Akbar | Po Box 1619, Coeur D Alene, ID 83816-1619 | Physician/surgeon | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samuel William S'doia | P.o. 1619, Coeur D'alene, ID 83816 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Troy A Belle | Direct Radiology, Coeur D'alene, ID 83816 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lee J Secrist Md | Po Box 2127, Coeur D Alene, ID 83816 | Physician/surgeon | 2013-03-01 ~ 2014-02-28 |
| John Robert Blackwell | P.o. Box 1619, Coeur D'alene, ID 83816 | Physician/surgeon | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Santiago Jimenez | 1620 Northwest Blvd Ste 202, Coeur D Alene, ID 83814-2488 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michelle C Meyer | 1509 E Coeur D Alene Ave, Coeur D Alene, ID 83814-5412 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Joanna Arcuni Carlson | 1839 N Government Way Ste B, Coeur D Alene, ID 83814-3454 | Physician/surgeon | 2019-09-04 ~ 2020-01-31 |
| Perry P Kaneriya | 1839 N Government Way, Coeur D Alene, ID 83814-3454 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Jason Doonan | 833 E Mullan Ave Apt 220, Coeur D Alene, ID 83814-4027 | Paramedic | 2014-04-01 ~ 2015-03-31 |
| Lawrence D Bub Md | 601 Front Ave #400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Faisal A Sami Md | 601 Front Ave. #502, Coeur D Alene, ID 83814-2973 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Thomas B Jones Md | 601 Front Ave., #502, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Rolf P Tonseth Md | C/o Virtual Radiologic, Coeur D Alene, ID 83814-5155 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Christopher J Miller Md | 601 Front Avenue, Suite 400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Find all Licenses in COEUR D ALENE | |||
| City | COEUR D ALENE |
| Zip Code | 83816 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + COEUR D ALENE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard S Joseph | 80 Willis Ln, Syosset, NY 11791-3041 | Physician/surgeon | 2019-03-01 ~ 2020-03-31 |
| Joseph Anthony Rose | 2979 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Joseph Anthony Zito | 5 Beaver Drive, Locust Valley, NY 11560 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| John A Willis Md | 6004 Main St, Trumbull, CT 06611 | Physician/surgeon | 2000-12-14 ~ 2001-12-31 |
| Karen Christine Willis | 55 Abbey Lane, Danbury, CT 06810 | Physician/surgeon | ~ |
| Kevin Willis | 79 Route 37 W Ste 103, Toms River, NJ 08755-6405 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Dean N Willis | 279 N Bride Brook Rd, East Lyme, CT 06333-1463 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| B Willis Co LLC | 51 Meadow Brook Rd Apt 74, Ellington, CT 06029-2229 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
| Wayne Willis · Willis Construction | 115 Kennedy Drive, Orange, CT 06477 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
| William D Willis · B Willis Company | 27 Belle St, Enfield, CT 06082 | Home Improvement Contractor | 1994-12-30 ~ 1996-05-01 |
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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).