JONATHAN A LARYEA (Credential# 561415) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2013. The license expiration date date is May 31, 2014. The license status is INACTIVE.
JONATHAN A LARYEA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043833. The credential type is physician/surgeon. The effective date is June 1, 2013. The expiration date is May 31, 2014. The business address is 4301 W. Markham Street, Little Rock, AR 72205. The current status is inactive.
Licensee Name | JONATHAN A LARYEA |
Credential ID | 561415 |
Credential Number | 1.043833 |
Credential Type | Physician/Surgeon |
Business Address |
4301 W. Markham Street Little Rock AR 72205 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2005-09-26 |
Effective Date | 2013-06-01 |
Expiration Date | 2014-05-31 |
Refresh Date | 2014-09-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
382443 | CSP.0036418 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-10-21 | 2007-03-01 - 2008-02-29 | INACTIVE |
Street Address | 4301 W. Markham Street |
City | Little Rock |
State | AR |
Zip Code | 72205 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Camille Dawniese Brown | 212 S. Plaza Dr., Little Rock, AR 72205 | Licensed Practical Nurse - Temporary | 2019-04-24 ~ 2019-08-22 |
Christopher Pope | 500 S University Ave, Little Rock, AR 72205 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Sherry M Hansen | 200 Kiawatha Dr, Little Rock, AR 72205 | Registered Nurse - Temporary | 2013-12-13 ~ 2014-04-11 |
J Brent Thompson | 446 Midland St, Little Rock, AR 72205 | Architect | 2005-08-01 ~ 2006-07-31 |
John M Erwin | 217 Beechwood, Little Rock, AR 72205 | Registered Nurse | 2006-05-19 ~ 2007-04-30 |
Nancy L Schrader | 315 S. Valmar, Little Rock, AR 72205 | Physician/surgeon | ~ 1996-02-29 |
Sheena Lairamore | 415 N. Monroe, Little Rock, AR 72205 | Physical Therapist | 2003-08-15 ~ 2004-05-31 |
Mose Smith IIi | 5326 W Markham St, Little Rock, AR 72205 | Physician/surgeon | 1993-10-25 ~ 1994-10-31 |
Valerie A Wood | 15 Nottingham Road, Little Rock, AR 72205 | Registered Nurse | ~ 1997-01-31 |
Tracy L Ross | 5503 B Street Apt 15, Little Rock, AR 72205 | Registered Nurse | 2003-09-15 ~ 2004-09-30 |
Find all Licenses in zip 72205 |
City | Little Rock |
Zip Code | 72205 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Little Rock |
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 Schreiber Md | 1 Barnard Ln Ste 102, Bloomfield, CT 06002-2482 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Jonathan Jensen | 101 Morris St., Albany, NY 12208 | Physician/surgeon | 1988-05-27 ~ 1992-05-31 |
Jonathan L Chasen Md | 236 Crestview Cir, Longmeadow, MA 01106 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Jonathan Mogen | 236 E 47th St Apt 24d, New York, NY 10017-2144 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
Jonathan K Wise | 792 Mass Ave, Arlington, MA | Physician/surgeon | 1970-08-31 ~ 1977-05-31 |
Jonathan G Pope | 218 New Britain Ave, Unionville, CT 06032 | Physician/surgeon | 2004-05-24 ~ 2005-03-31 |
Please comment or provide details below to improve the information on JONATHAN A LARYEA.
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).