JAN O JOHANSSON
Physician/surgeon


Address: 9 Coachlight Dr., Poughkeepsie, NY 12603

JAN O JOHANSSON (Credential# 547311) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 10, 2008. The license expiration date date is November 30, 2009. The license status is INACTIVE.

Business Overview

JAN O JOHANSSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028672. The credential type is physician/surgeon. The effective date is September 10, 2008. The expiration date is November 30, 2009. The business address is 9 Coachlight Dr., Poughkeepsie, NY 12603. The current status is inactive.

Basic Information

Licensee Name JAN O JOHANSSON
Credential ID 547311
Credential Number 1.028672
Credential Type Physician/Surgeon
Business Address 9 Coachlight Dr.
Poughkeepsie
NY 12603
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1987-11-20
Effective Date 2008-09-10
Expiration Date 2009-11-30
Refresh Date 2010-03-16

Office Location

Street Address 9 Coachlight Dr.
City Poughkeepsie
State NY
Zip Code 12603

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Carole A Daponte · Woodbrey 21 Twin Hills Road, Poughkeepsie, NY 12603 Licensed Clinical Social Worker 2020-05-01 ~ 2021-04-30
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David B Katz 4 Commerce Street Ext, Poughkeepsie, NY 12603 Swimming Pool Builder - In Ground 2020-05-01 ~ 2021-04-30
Ryan Eric Wallace 2 Bird Lane, Poughkeepsie, NY 12603 Registered Nurse 2020-04-22 ~ 2021-01-31
Christopher A Perito 233 South Grand Avenue, Poughkeepsie, NY 12603 Radiographer 2020-05-01 ~ 2021-04-30
Jennifer M Sarasky-morales 3 Ireland Dr, Poughkeepsie, NY 12603 Registered Nurse 2020-06-01 ~ 2021-05-31
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Competitor

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City Poughkeepsie
Zip Code 12603
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Poughkeepsie

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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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