DAVID G DRAKE
Physician/surgeon


Address: C/o Nighthawk Radiology Services, Coeur D'alene, ID 83814

DAVID G DRAKE (Credential# 564414) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2010. The license expiration date date is January 31, 2011. The license status is INACTIVE.

Business Overview

DAVID G DRAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046832. The credential type is physician/surgeon. The effective date is February 1, 2010. The expiration date is January 31, 2011. The business address is C/o Nighthawk Radiology Services, Coeur D'alene, ID 83814. The current status is inactive.

Basic Information

Licensee Name DAVID G DRAKE
Credential ID 564414
Credential Number 1.046832
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 2008-07-23
Effective Date 2010-02-01
Expiration Date 2011-01-31
Refresh Date 2011-05-02

Office Location

Street Address c/o NightHawk Radiology Services
City Coeur D'Alene
State ID
Zip Code 83814

Licenses in the same zip code

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

Competitor

Search similar business entities

City Coeur D'Alene
Zip Code 83814
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Coeur D'Alene

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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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