RAY W JOHNSON (Credential# 555656) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2016. The license expiration date date is December 31, 2016. The license status is INACTIVE.
RAY W JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038066. The credential type is physician/surgeon. The effective date is January 1, 2016. The expiration date is December 31, 2016. The business address is Po Box 10730, Prescott, AZ 86304-0730. The current status is inactive.
| Licensee Name | RAY W JOHNSON |
| Credential ID | 555656 |
| Credential Number | 1.038066 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 10730 Prescott AZ 86304-0730 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1999-08-18 |
| Effective Date | 2016-01-01 |
| Expiration Date | 2016-12-31 |
| Refresh Date | 2017-04-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 216882 | CSP.0028738 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-20 - 2003-02-28 | INACTIVE |
| Street Address | PO BOX 10730 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86304-0730 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah G Nagy | P O Box 12376, Prescott, AZ 86304 | Registered Nurse | 2011-09-01 ~ 2012-08-31 |
| Theresa M Esposito | P.o. Box 12967, Prescott, AZ 86304 | Registered Nurse | 2001-02-12 ~ 2002-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara L Goethe | 140 S Woodridge Way, Prescott, AZ 86303-5714 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kaitlin Marie Gietzen | 2685 E Old Us Highway 89a Unit 7, Prescott, AZ 86301-8460 | Registered Nurse | 2020-04-13 ~ 2021-02-28 |
| Peter J Christesen | 4756 N Granite Gardens Dr, Prescott, AZ 86301-8477 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| William G Markham | 360 Cimarron Cir, Prescott, AZ 86301-1558 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Julia Lynne Cowing | 4636 Hornet Dr, Prescott, AZ 86301 | Registered Nurse | 2019-12-09 ~ 2020-07-31 |
| Clarisse Baluyot | 1628 Idylwild Rd, Prescott, AZ 86305-2216 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Superstition Meadery | 6678 Inter Cal Way, Prescott, AZ 86301-6151 | Out of State Winery | 2019-10-23 ~ 2020-10-22 |
| Benoit A Luyckx | 5179 Wellness Way, Prescott, AZ 86301 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Leanne Marie Sandmeyer | 1500 River Ter, Prescott, WI 54021-7046 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Deborah Charles | 722 Greenlawn, Prescott, AR 71857 | Licensed Practical Nurse | 2019-08-01 ~ 2020-07-31 |
| Find all Licenses in PRESCOTT | |||
| City | PRESCOTT |
| Zip Code | 86304 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PRESCOTT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank Johnson | 17 Mckinley St, Bronxville, NY 10708-1806 | Physician/surgeon | ~ |
| Rebecca L Johnson | P.o. Box 524, Richmond, MA 01254 | Physician/surgeon | 1995-07-27 ~ 1996-08-31 |
| Jeffrey J Johnson | 68 Thermos Ave, Norwich, CT 06360 | Physician/surgeon | 1993-01-25 ~ 1994-03-31 |
| Dennis R Johnson | 549 Lowell St, Lexington, MA 02420-1918 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Frank Johnson | 937 Old Eagle Way, Greenwood, IN 46143 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Rollin M Johnson | 5 Hatfield St, Haydenville, MA 01039 | Physician/surgeon | 2003-07-17 ~ 2004-08-31 |
| Michael D Johnson | 145 Birdseye Rd, Farmington, CT 06032 | Physician/surgeon | 1992-04-24 ~ 1993-04-30 |
| Kevin M Johnson Md | 19 Stanton Ct, Madison, CT 06443 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard A Johnson | 825 Cornwall Ave, Cheshire, CT 06410-2617 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael G Johnson | 340 Winding Rdg, Southington, CT 06489 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on RAY W JOHNSON.
| 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).