ROBERT L CROCKER (Credential# 557663) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2015. The license expiration date date is April 30, 2016. The license status is INACTIVE.
ROBERT L CROCKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040080. The credential type is physician/surgeon. The effective date is May 1, 2015. The expiration date is April 30, 2016. The business address is 4264 East Ridge Drive, Jackson, MS 39211. The current status is inactive.
| Licensee Name | ROBERT L CROCKER |
| Credential ID | 557663 |
| Credential Number | 1.040080 |
| Credential Type | Physician/Surgeon |
| Business Address |
4264 East Ridge Drive Jackson MS 39211 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-01-04 |
| Effective Date | 2015-05-01 |
| Expiration Date | 2016-04-30 |
| Refresh Date | 2016-08-03 |
| Street Address | 4264 EAST RIDGE DRIVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39211 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary H Sawardecker | 57 Woodridge Place, Jackson, MS 39211 | Licensed Practical Nurse | 2017-02-01 ~ 2018-01-31 |
| Shantrice Williams | 32a Northtown Rd, Jackson, MS 39211 | Registered Nurse | 2014-05-01 ~ 2015-05-31 |
| Richard C Miller | 2229 Greenbriar Drive, Jackson, MS 39211 | Physician/surgeon | 2008-09-12 ~ 2009-11-30 |
| Sunder H Jagwani | 39 Polo Drive, Jackson, MS 39211 | Physician/surgeon | 1992-06-25 ~ 1993-05-31 |
| Frank L Lauro | 51 Northtown Dr, Jackson, MS 39211 | Physician/surgeon | 1996-12-11 ~ 1997-12-31 |
| Gwendolyn I Mosley | 1231 Greenbriar St, Jackson, MS 39211 | Registered Nurse | 2006-09-26 ~ 2007-10-31 |
| Lily L Caldwell | 5146 Ridgewood Road, Jackson, MS 39211 | Registered Nurse | 2007-08-10 ~ 2008-09-30 |
| Stephanie M Van Fossen | 6300 Old Canton Road, Jackson, MS 39211 | Registered Nurse | 2000-06-12 ~ 2001-05-31 |
| Treva R Gilbert | 2501 River Oaks Boulevard, Jackson, MS 39211 | Registered Nurse | 2001-08-09 ~ 2002-09-30 |
| Andrea Hood | 258 Park Lane Pl, Jackson, MS 39211-2462 | Registered Nurse | ~ |
| Find all Licenses in zip 39211 | |||
| City | JACKSON |
| Zip Code | 39211 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + JACKSON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara A Landesman | 3409 Crocker Dr, Sacramento, CA 95818-3967 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Norman L Crocker | 1387 S Hametown Rd, Copley, OH 44321-1831 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Juan Miranda-seijo | 6735 S. Crocker Way, Littletown, CO 80120 | Physician/surgeon | 2005-10-31 ~ 2006-10-31 |
| Victoria C Smith | 6735 South Crocker Way, Littleton, CO 80120 | Physician/surgeon | 2005-06-27 ~ 2006-06-30 |
| Wendy S Crocker · Crocker | 39 Foster St., South Windsor, CT 06074 | Hairdresser/cosmetician | 2008-09-02 ~ 2010-08-31 |
| Rosemary G Crocker · Richard A Crocker | 73 Flax Mill Rd, Branford, CT 06405 | Real Estate Salesperson | 2001-06-01 ~ 2002-05-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Crocker's Boatyard | 56 Howard St, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2019-08-01 ~ 2020-07-31 |
| Crocker Renovations LLC | 17 Running Brook Dr, Killingworth, CT 06419 | Home Improvement Contractor | 2010-08-05 ~ 2010-11-30 |
| Robert Crocker | 37 Garvan St, East Hartford, CT 06108 | Home Improvement Contractor | 2003-07-30 ~ 2003-11-30 |
Please comment or provide details below to improve the information on ROBERT L CROCKER.
| 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).