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.
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.
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 |
Street Address | 14874 Huntington Gate Dr |
City | Poway |
State | CA |
Zip Code | 92064 |
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 |
City | Poway |
Zip Code | 92064 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Poway |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan Edward Scott | CT | Physician/surgeon | ~ |
Jonathan Ek | 306 W Griggs #209, Urbana, IL 61801 | Physician/surgeon | ~ |
Jonathan Y Ko | Po Box 180, Goshen, CT 06756-0180 | Physician/surgeon | 2009-06-09 ~ 2014-04-30 |
Jonathan Goldstein | 513 Rio Grande Ave, Santa Fe, NM 87501-1311 | Physician/surgeon | ~ |
Jonathan N. Glickman | 320 Needham St Ste 200, Newton, MA 02464-1593 | Physician/surgeon | 2015-10-01 ~ 2016-09-30 |
Jonathan R Zirn | 25 Tamarack Ave., Danbury, CT 06811 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Jonathan B Williamson | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jonathan S Aranow Md | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Jonathan E Gage | 2 Church St So, New Haven, CT 06519 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jonathan Ringo | 22 Lafayette Dr, Woodmere, NY 11598-1031 | Physician/surgeon | 2013-02-28 ~ 2013-11-30 |
Please comment or provide details below to improve the information on JONATHAN GALLEN.
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).