SPENCER D JOHNSON OD (Credential# 531987) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 20, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
SPENCER D JOHNSON OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045472. The credential type is controlled substance registration for practitioner. The effective date is May 20, 2009. The expiration date is February 28, 2011. The business address is 1001 N Grand Ave, Tahlequah, OK 74464-7017. The current status is inactive.
| Licensee Name | SPENCER D JOHNSON OD |
| Credential ID | 531987 |
| Credential Number | CSP.0045472 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1001 N Grand Ave Tahlequah OK 74464-7017 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-05-20 |
| Effective Date | 2009-05-20 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 763393 | 3.002765 | Optometrist | 2008-10-14 | 2010-02-01 - 2011-01-31 | INACTIVE |
| Street Address | 1001 N GRAND AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-7017 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cassie Goodnight | 14300 N 520, Tahlequah, OK 74464 | Emergency Medical Technician | ~ |
| Rose T Garrett | 1671 N. Prim Rose Lane, Tahlequah, OK 74464 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Christopher Ammirati | 1200 North Cedar, Tahlequah, OK 74464 | Registered Nurse | 1996-01-16 ~ 1997-03-31 |
| George D Robbins | Rt 4 Box 494, Tahlequah, OK 74464 | Heating, Piping & Cooling Limited Journeyperson | 1999-09-01 ~ 2000-08-31 |
| Richard R Robbins | Rt 4 Box 390-2-5, Tahlequah, OK 74464 | Heating, Piping & Cooling Limited Journeyperson | ~ 1995-10-01 |
| Chris R Jobe | 612 Green Country Dr, Tahlequah, OK 74464-6001 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Robert A Jobe | 635 Green Country Dr, Tahlequah, OK 74464-6002 | Heating, Piping & Cooling Limited Journeyperson | 2008-09-09 ~ 2009-08-31 |
| Brian L Jobe | 635 Green Country Dr, Tahlequah, OK 74464-6002 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| City | TAHLEQUAH |
| Zip Code | 74464 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TAHLEQUAH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohammad S Khera | 115 Spencer St Ste 3, Winsted, CT 06098-1141 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey S Spencer Md | 672 Stoneleigh Ave., Carmel, NY 10512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew Szczepanski Md | 115 Spencer St, Winsted, CT 06098 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel F Reilly Jr. | 21 Spencer Dr, Windsor, CT 06095-2433 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Teresa K Spencer | 26 Homestead Ave, Derby, CT 06418-2516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amor C Lomibao | 115 Spencer St, Winsted, CT 06098-1140 | Controlled Substance Registration for Practitioner | 2020-05-21 ~ 2021-02-28 |
| Patrick M O'beirne | 314 E Spencer Ln, Galloway, NJ 08205-3256 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey V Spencer Md | 820 Bestgate Rd Ste 2c, Annapolis, MD 21401-3404 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Colleen M Cattaneo | 31 Jolicoeur Ave, Spencer, MA 01562 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Richard M Shoup Md | 112 Spencer St, Manchester, CT 06040-4601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SPENCER D JOHNSON OD.
| 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).