JONATHAN GALLEN
Physician/surgeon


Address: 14874 Huntington Gate Dr, Poway, CA 92064

JONATHAN GALLEN (Credential# 555854) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 5, 2005. The license expiration date date is June 30, 2006. The license status is INACTIVE.

Business Overview

JONATHAN GALLEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038264. The credential type is physician/surgeon. The effective date is July 5, 2005. The expiration date is June 30, 2006. The business address is 14874 Huntington Gate Dr, Poway, CA 92064. The current status is inactive.

Basic Information

Licensee Name JONATHAN GALLEN
Credential ID 555854
Credential Number 1.038264
Credential Type Physician/Surgeon
Business Address 14874 Huntington Gate Dr
Poway
CA 92064
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-11-18
Effective Date 2005-07-05
Expiration Date 2006-06-30
Refresh Date 2012-06-11

Office Location

Street Address 14874 Huntington Gate Dr
City Poway
State CA
Zip Code 92064

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Marta I Torres-quinones 13610 Putney Road, Poway, CA 92064 Physician/surgeon 2019-10-01 ~ 2020-09-30
Jean's Posh Pantry Inc 12625 Stowe Dr, Poway, CA 92064 Bakery 2015-07-01 ~ 2016-06-30
Carol B Crafts 13030 Birch Lane, Poway, CA 92064 Registered Nurse 2016-02-01 ~ 2017-01-31
Richard F. Kalenka 16051 Cross Fox Court, Poway, CA 92064 Certified Public Accountant License 2001-01-01 ~ 2001-12-31
Nirmal Mangal 13102 Decant Dr, Poway, CA 92064 Architect 2002-02-27 ~ 2002-07-31
Kathy L Fugarino 13619 Comuna Drive, Poway, CA 92064 Registered Nurse 1993-08-25 ~ 1994-09-30
Margaret L Roberts 14568 Dehia Street, Poway, CA 92064 Registered Nurse 2004-01-29 ~ 2005-02-28
Jessica Lopez 12640 Robinson Blvd, Poway, CA 92064 Licensed Practical Nurse 2006-11-27 ~ 2007-05-31
Martha S Reynolds 11753 Creek Bluff Dr., Poway, CA 92064 Funeral Director 2000-10-04 ~ 2001-11-30
Steven G Gilbert 13849 Adrian St, Poway, CA 92064 Engineer-in-training 1996-11-12 ~ 2006-11-12
Find all Licenses in zip 92064

Competitor

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City Poway
Zip Code 92064
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Poway

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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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