ROBERT W AH (Credential# 548319) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 11, 1989. The license expiration date date is August 31, 1990. The license status is INACTIVE.
ROBERT W AH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030227. The credential type is physician/surgeon. The effective date is August 11, 1989. The expiration date is August 31, 1990. The business address is 148-710 Lakeland Drive, Toccoa, GA 30577. The current status is inactive.
Licensee Name | ROBERT W AH |
Credential ID | 548319 |
Credential Number | 1.030227 |
Credential Type | Physician/Surgeon |
Business Address |
148-710 Lakeland Drive Toccoa GA 30577 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1989-08-11 |
Effective Date | 1989-08-11 |
Expiration Date | 1990-08-31 |
Refresh Date | 2009-07-08 |
Street Address | 148-710 Lakeland Drive |
City | Toccoa |
State | GA |
Zip Code | 30577 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sandra J Tosta | 3416 Williams Bridge Rd., Toccoa, GA 30577 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Helen M Garnica | 40 Forrest Avenue, Toccoa, GA 30577 | Registered Nurse | 1995-07-11 ~ 1996-07-31 |
Elmer A Wagener | 8522 Lovers Ln, Toccoa, GA 30577 | Electrical Unlimited Contractor | 1997-10-01 ~ 1998-09-30 |
Joan A Barnes | P.o. Box 12, Toccoa, GA 30577 | Licensed Practical Nurse | 2004-02-24 ~ 2004-07-31 |
Martha M Lawson | 1872 Highway 184 N, Toccoa, GA 30577-7313 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
City | Toccoa |
Zip Code | 30577 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Toccoa |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Robert Mittman | 230-26 53 Ave, Bayside, NY 11364 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
Robert Samaniego | 33 Cedar St Ste 3, Rye, NY 10580-2031 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
Robert Sussman | 167 Purchase St, Rye, NY 10580 | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
Robert F Porges | 530 First Ave, New York, NY 10016 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
Robert Lee Gore | 79 Richmond St, Dorchester, MA 02124-5873 | Physician/surgeon | ~ |
Robert C Alvis Md | Po Box 194, Thornwood, NY 10594 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Robert Nekrich | Po Box 316, New City, NY 10956 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Robert M Amick | 260 Lee St, Brookline, MA 02445-5915 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
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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).