JAMES J TIESINGA MD (Credential# 300851) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
JAMES J TIESINGA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031748. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 5432 E Northern Lights #513, Anchorage, AK 99508-4713. The current status is inactive.
| Licensee Name | JAMES J TIESINGA MD |
| Credential ID | 300851 |
| Credential Number | CSP.0031748 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5432 E Northern Lights #513 Anchorage AK 99508-4713 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 557377 | 1.039793 | Physician/Surgeon | 2001-08-08 | 2009-01-26 - 2010-03-31 | INACTIVE |
| Street Address | 5432 E NORTHERN LIGHTS #513 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4713 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alec J Goulet | 1701 Aleutian Street, Anchorage, AK 99508 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Evgenia Rohlman | 1941 Bragaw Square Place, Anchorage, AK 99508 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Julie Macneil | 100 Bunnell St, Anchorage, AK 99508 | Controlled Substance Registration for Practitioner | 2019-03-04 ~ 2021-02-28 |
| Fredrick S White | 4382 Reka Dr, Anchorage, AK 99508 | Registered Nurse | 2008-04-07 ~ 2009-04-30 |
| Margaret A Blackadar | 2630 Porter Place, Anchorage, AK 99508 | Registered Nurse | 2002-11-22 ~ 2003-12-31 |
| Kathleen C Burns | 2710 East 20th Ave, Anchorage, AK 99508 | Registered Nurse | 1997-10-14 ~ 1998-11-30 |
| Ronnyanne L Avezac | 801 Airport Hts #332, Anchorage, AK 99508 | Hairdresser/cosmetician | 1999-08-17 ~ 2000-06-30 |
| Mary M Snowball | 4401 E 6th Ave, Anchorage, AK 99508-2226 | Registered Nurse | 2004-08-06 ~ 2005-09-30 |
| Julius Jose N Carino | 5110 Hatcher Cir, Anchorage, AK 99508-3822 | Registered Nurse | 2014-12-01 ~ 2015-12-31 |
| John D Reeves Jr | 4829 Bryn Mawr Ct Apt 6, Anchorage, AK 99508-4763 | Engineer-in-training | 1993-01-12 ~ 2003-01-12 |
| Find all Licenses in zip 99508 | |||
| City | ANCHORAGE |
| Zip Code | 99508 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ANCHORAGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James K Koh | Po Box 3050, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| James D Thomas Pa-c | Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2008-02-29 ~ 2009-02-28 |
| James A Wollschlager Dds | 495 Rte 184, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James L Sacksteder | Po Box 962, Stockbridge, MA 01262 | Controlled Substance Registration for Practitioner | 1994-02-18 ~ 1996-02-01 |
| James P Ralabate | 241 2nd Ave, Stratford, CT 06615-7725 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James D Garrity Md | 292 Elm St, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| James L Mcneil | P.o. Box 401, Cloudcroft, NM 88317 | Controlled Substance Registration for Practitioner | 1995-09-11 ~ 1996-02-28 |
| James C Xenophon Md | Po Box 157, Orwigsburg, PA 17961 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| James P Newman Do | 102 Kay St, Ithaca, NY 14850 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| James K Yue | 760 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on JAMES J TIESINGA MD.
| 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).