CAROLYN L JACKSON (Credential# 545814) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 18, 1994. The license expiration date date is October 31, 1995. The license status is INACTIVE.
CAROLYN L JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026096. The credential type is physician/surgeon. The effective date is October 18, 1994. The expiration date is October 31, 1995. The business address is 2207 Summerlake Dr, Dunwoody, GA 30350. The current status is inactive.
| Licensee Name | CAROLYN L JACKSON |
| Credential ID | 545814 |
| Credential Number | 1.026096 |
| Credential Type | Physician/Surgeon |
| Business Address |
2207 Summerlake Dr Dunwoody GA 30350 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1985-01-09 |
| Effective Date | 1994-10-18 |
| Expiration Date | 1995-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 2207 SUMMERLAKE DR |
| City | DUNWOODY |
| State | GA |
| Zip Code | 30350 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline Michelle Wilkinson | 8121a Colquitt Rd, Sandy Springs, GA 30350 | Registered Nurse | ~ |
| Amanda R Khurana | 540 Spender Trace, Atlanta, GA 30350 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Farris A Shaheen | 610 Spindlewick Drive, Atlanta, GA 30350 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Joanne Moore | 8845 North River Parkway 3b, Sandy Springs, GA 30350 | Registered Nurse | 2019-12-04 ~ 2020-12-31 |
| My Tribute Gift Foundation Inc | 8505 Dunwoody Place Building 12, Atlanta, GA 30350 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Phillips Engineering Group PC | 500 Sugar Mill Rd Ste #105-a, Atlanta, GA 30350 | Professional Engineering Corporation | ~ |
| Melissa W Carrato | 20 Nesbit Reserve Court, Sandy Springs, GA 30350 | Radiographer | 2019-09-01 ~ 2020-08-31 |
| Jimmy L Walker | 8451 Dunwoody Place, Sandy Springs, GA 30350 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Alicia Malinda Darby-bishop | 204 Spring Creek Lane, Sandy Springs, GA 30350 | Registered Nurse | 2017-04-03 ~ 2018-04-30 |
| Jane G Holt · Pcre LLC | 312 Summer Crossing, Dunwoody, GA 30350 | Real Estate Salesperson | 2002-06-01 ~ 2003-05-31 |
| Find all Licenses in zip 30350 | |||
| City | DUNWOODY |
| Zip Code | 30350 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DUNWOODY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn D Howard | P.o. Box 672, Ashway, RI 02804 | Physician/surgeon | 2003-08-11 ~ 2004-08-31 |
| Carolyn A Deshefy | 67 Old Mill Rd, Middletown, CT 06457 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Carolyn A Clark Md | 43 Enterprise Dr, Bristol, CT 06010-7457 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carolyn M Sofka | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Carolyn Jones Md | 36 Clark Ln, Waterford, CT 06385 | Physician/surgeon | 2004-01-12 ~ 2005-02-28 |
| Carolyn E Thompson | 210 E 64th St Fl 4, New York, NY 10065-7471 | Physician/surgeon | 2015-08-04 ~ 2016-08-31 |
| Carolyn M Testa-casino | 29 Hospital Plz Ste 495, Stamford, CT 06902-3602 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Carolyn L Rochester | 49 Cranberry Lane, Cheshire, CT 06410 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Carolyn Lafleur Md | 21 Millstone Ridge Rd, New Milford, CT 06776 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
| Hosni M Mikhael Md | 10 Carolyn Crt., North Haven, CT 06473-2177 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on CAROLYN L JACKSON.
| 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).