JAMES W FOREST-LAM (Credential# 549230) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 28, 1995. The license expiration date date is May 31, 1996. The license status is INACTIVE.
JAMES W FOREST-LAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031493. The credential type is physician/surgeon. The effective date is August 28, 1995. The expiration date is May 31, 1996. The business address is 50 Heathridge Drive, Dyersburg, TN 38024. The current status is inactive.
Licensee Name | JAMES W FOREST-LAM |
Credential ID | 549230 |
Credential Number | 1.031493 |
Credential Type | Physician/Surgeon |
Business Address |
50 Heathridge Drive Dyersburg TN 38024 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1991-04-19 |
Effective Date | 1995-08-28 |
Expiration Date | 1996-05-31 |
Refresh Date | 2009-07-08 |
Street Address | 50 Heathridge Drive |
City | Dyersburg |
State | TN |
Zip Code | 38024 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cathy Curran Crans | 50 Quail Hollow Drive, Dyersburg, TN 38024 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Boss Hoss Cycles Inc | 790 S Main St, Dyersburg, TN 38024 | Motor Vehicle Manufacturer (llm) | ~ |
Susan S Gilfillan | 943 Jones Rd, Dyersburg, TN 38024 | Licensed Clinical Social Worker | 1995-05-09 ~ 1996-07-31 |
Lorrie F Springer Aprn | 2132 Aztec Dr, Dyersburg, TN 38024-1841 | Advanced Practice Registered Nurse | 2011-10-01 ~ 2012-09-30 |
Wells Pharmacy Network LLC | 450 Us Highway 51 Byp N, Dyersburg, TN 38024-3655 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Jon D Davis | 857 Highway 210 N, Dyersburg, TN 38024-8308 | Elevator Limited Conveyor Journeyperson | ~ |
City | Dyersburg |
Zip Code | 38024 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Dyersburg |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Randall James | 1002 Gotham Drive, St James, NY 11780 | Physician/surgeon | 2001-01-03 ~ 2001-12-31 |
James A Van Rhee | 34 Forest Glen Dr, Woodbridge, CT 06525-1449 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Urvika Choksey | 25 Forest St, Stamford, CT 06901-1850 | Physician/surgeon | ~ |
Ariel Friedman | 36 Forest Rd, Tenafly, NJ 07670-2229 | Physician/surgeon | ~ |
James Jen | James Jen, Md, Purchase, NY 10577 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Leo L Tylec | 499 Forest Lakes, Naples, FL 34105 | Physician/surgeon | 2006-04-19 ~ 2007-04-30 |
Parul J Kakaria Md | 25 Forest St #10a, Stamford, CT 06901 | Physician/surgeon | 2005-09-19 ~ 2006-06-30 |
Terry L Levin | 714 Forest Ave, Mamaroneck, NY 10543-4415 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Howard C Gold Md | 20 Forest Dr, Newington, CT 06111 | Physician/surgeon | 2007-02-16 ~ 2008-04-30 |
Mithil V Choksey | 25 Forest St, Apt 14f, Stamford, CT 06901 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).