JF DONAL CONWAY
Physician/surgeon


Address: 15841 Jackson Trace Road, Coker, AL 35452

JF DONAL CONWAY (Credential# 558858) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.

Business Overview

JF DONAL CONWAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041275. The credential type is physician/surgeon. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is 15841 Jackson Trace Road, Coker, AL 35452. The current status is inactive.

Basic Information

Licensee Name JF DONAL CONWAY
Credential ID 558858
Credential Number 1.041275
Credential Type Physician/Surgeon
Business Address 15841 Jackson Trace Road
Coker
AL 35452
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-03-28
Effective Date 2018-03-01
Expiration Date 2019-02-28
Refresh Date 2019-06-03

Other licenses

ID Credential Code Credential Type Issue Term Status
336964 CSP.0033330 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-04-15 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address 15841 Jackson Trace Road
City Coker
State AL
Zip Code 35452

Competitor

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City Coker
Zip Code 35452
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Coker

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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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