JAMLIK O JOHNSON (Credential# 559918) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 14, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.
JAMLIK O JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042336. The credential type is physician/surgeon. The effective date is January 14, 2008. The expiration date is February 28, 2009. The business address is C/o Nighthawk Radiology Services, Coeur D' Alene, ID 83814. The current status is inactive.
Licensee Name | JAMLIK O JOHNSON |
Credential ID | 559918 |
Credential Number | 1.042336 |
Credential Type | Physician/Surgeon |
Business Address |
C/o Nighthawk Radiology Services Coeur D' Alene ID 83814 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2004-04-16 |
Effective Date | 2008-01-14 |
Expiration Date | 2009-02-28 |
Refresh Date | 2009-07-08 |
Street Address | c/o Nighthawk Radiology Services |
City | Coeur d' Alene |
State | ID |
Zip Code | 83814 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dhawal A Goradia | 1839 N. Government Way, Coeur D'alene, ID 83814 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Cody Lee Ray | 1387 Kaleigh Ct, Coeur D'alene, ID 83814 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Lawrence D Bub Md | 601 Front Ave #400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Thomas B Jones Md | 601 Front Ave., #502, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Christopher J Miller Md | 601 Front Avenue, Suite 400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Robin Prasad Md | 250 Northwest Blvd #202, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Doreen M Seal · Christiansen | 1121 Shorwood Court, Coeur D Alene, ID 83814 | Licensed Practical Nurse | 2003-03-21 ~ 2004-03-31 |
Howard M Rosner | 1620 Northwest Blvd #202, Coeur D'alene, ID 83814 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
David D Burdette Md | 601 Front Ave #400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Laura Jean Doucette | 212 W Ironwood Dr Ste D-252, Coeur D Alene, ID 83814-1403 | Registered Nurse | 1972-09-08 ~ 1978-05-31 |
Find all Licenses in zip 83814 |
City | Coeur d' Alene |
Zip Code | 83814 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Coeur d' Alene |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ray W Johnson | Po Box 10730, Prescott, AZ 86304-0730 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
Frank Johnson | 17 Mckinley St, Bronxville, NY 10708-1806 | Physician/surgeon | ~ |
Rebecca L Johnson | P.o. Box 524, Richmond, MA 01254 | Physician/surgeon | 1995-07-27 ~ 1996-08-31 |
William H Johnson | 215 Maple Ave, Mamaroneck, NY 10543 | Physician/surgeon | 1981-01-01 ~ 1993-12-31 |
Dennis R Johnson | 549 Lowell St, Lexington, MA 02420-1918 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Frank Johnson | 937 Old Eagle Way, Greenwood, IN 46143 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Michael D Johnson | 145 Birdseye Rd, Farmington, CT 06032 | Physician/surgeon | 1992-04-24 ~ 1993-04-30 |
Kevin M Johnson Md | 19 Stanton Ct, Madison, CT 06443 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Rollin M Johnson | 5 Hatfield St, Haydenville, MA 01039 | Physician/surgeon | 2003-07-17 ~ 2004-08-31 |
Michael G Johnson | 340 Winding Rdg, Southington, CT 06489 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).