JACK O STEVENS MD (Credential# 558106) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 6, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.
JACK O STEVENS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040523. The credential type is physician/surgeon. The effective date is June 6, 2002. The expiration date is February 28, 2003. The business address is 10420 Peonia Court, Austin, TX 78733. The current status is inactive.
| Licensee Name | JACK O STEVENS MD |
| Credential ID | 558106 |
| Credential Number | 1.040523 |
| Credential Type | Physician/Surgeon |
| Business Address |
10420 Peonia Court Austin TX 78733 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-06-06 |
| Effective Date | 2002-06-06 |
| Expiration Date | 2003-02-28 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 312293 | CSP.0032208 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-06-12 - 2003-02-28 | INACTIVE |
| Street Address | 10420 PEONIA COURT |
| City | AUSTIN |
| State | TX |
| Zip Code | 78733 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard A Langner | 2401 Yosemite Dr, Austin, TX 78733 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lynne H Wheeler | 2110 Cliffs Edge Dr, Austin, TX 78733 | Hairdresser/cosmetician | 2000-12-21 ~ 2001-11-30 |
| Mary Elle Clifford | 2908 Barton Pt Drive, Austin, TX 78733 | Registered Nurse | 1996-12-12 ~ 1997-12-31 |
| Rickie J Poulin | 2315 Balboa Rd, Austin, TX 78733 | Electrical Unlimited Journeyperson | 2004-10-01 ~ 2005-09-30 |
| Ann L Patterson | 2401 Yosemite Dr, Austin, TX 78733 | Architect | 2020-08-01 ~ 2021-07-31 |
| Katherine Lamin | 2509 N River Hills Rd, Austin, TX 78733-2133 | Speech and Language Pathologist | 2020-03-01 ~ 2021-02-28 |
| Mesa Vineyards L P · Mesa Vineyards | 7909 Brightman Ln, Austin, TX 78733-3435 | Out of State Shipper Liquor | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen R Lanshe | 5816 Sunset Rdg, Austin, TX 78735-7920 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Nuclein, LLC | 7301 N Fm 620 Rd, Ste 155-113, Austin, TX 78726 | Securities - Exemptions | 2020-06-23 ~ |
| Benjamin Dean Maddalena | 811 Barton Springs Rd Ste 800, Austin, TX 78704-1166 | Architect | 2020-08-01 ~ 2021-07-31 |
| Wm Capital Partners 77, LLC | 100 Congress Avenue, Austin, TX 78701 | Securities - Exemptions | 2020-06-17 ~ |
| Act Global Americas Inc | 4201 W Parmer Ln Ste B175, Austin, TX 78727-4158 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| National Domestic Violence Hotline · F/k/a National Council On Family Violence Inc | 5920 W William Cannon Dr Bldg 4, Austin, TX 78749-1903 | Public Charity | 2020-09-01 ~ 2021-08-31 |
| Henrietta E Martin | 1301 Newning Ave, Austin, TX 78704 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Gift Services Inc | 8801 Wall St Ste 880, Austin, TX 78754-4404 | Out of State Winery | 2020-08-05 ~ 2021-08-04 |
| Lindsey Margaret Watkins | 2401 Aldrich St Apt 138, Austin, TX 78723-1623 | Registered Nurse | ~ 2014-08-31 |
| David M Fazio | 308 Congress Ave Ste B, Austin, TX 78701-4048 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in AUSTIN | |||
| City | AUSTIN |
| Zip Code | 78733 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + AUSTIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy W Stevens | 31 Yowago Ave, Branford, CT 06405-5526 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jack Liu | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| William A Stevens Md | 55 Lords Hwy, Weston, CT 06883 | Physician/surgeon | 2013-06-01 ~ 2014-05-31 |
| Hanna E Stevens Md | 230 S. Frontage Rd, New Haven, CT 06519 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| James E Babashak Md | 24 Stevens St, Norwalk, CT 06850 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Richard C Frank Md | 24 Stevens St, Norwalk, CT 06856 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Seth A Gross Md | 30 Stevens St Ste D, Norwalk, CT 06850-3859 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Caroline P Kurtz | 30 Stevens St Ste C, Norwalk, CT 06850-3859 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Paul J � Braon�in | 14 Stevens Ln, Glastonbury, CT 06033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Peter K Stevens | 16 Emerson Ave, Harrison, NY 10528-3331 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on JACK O STEVENS MD.
| 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).