DIANE R JOHNSON PA (Credential# 742784) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 17, 2008. The license expiration date date is November 30, 2009. The license status is INACTIVE.
DIANE R JOHNSON PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001035. The credential type is physician assistant. The effective date is November 17, 2008. The expiration date is November 30, 2009. The business address is 5841 Route 112, Halifax, VT 05358. The current status is inactive.
| Licensee Name | DIANE R JOHNSON PA |
| Credential ID | 742784 |
| Credential Number | 23.001035 |
| Credential Type | Physician Assistant |
| Business Address |
5841 Route 112 Halifax VT 05358 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-11-29 |
| Effective Date | 2008-11-17 |
| Expiration Date | 2009-11-30 |
| Refresh Date | 2010-03-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 260865 | CSP.0030511 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 5841 ROUTE 112 |
| City | HALIFAX |
| State | VT |
| Zip Code | 05358 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Honora Winery & Vineyard Inc · Honora Winery | 1950 Collins Road, West Halifax, VT 05358 | Out of State Winery | 2010-04-08 ~ 2011-04-07 |
| Benjamin J Reynolds | 801 Deer Park Rd, West Halifax, VT 05358-7932 | Asbestos Abatement Supervisor | 2017-06-15 ~ 2018-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tanya Renee Erdman | 6 Cessna Dr, Halifax, PA 17032 | Registered Nurse | 2020-05-28 ~ 2021-03-31 |
| Amy Elizabeth Crowley | 2384 Armcrescent East, Halifax, NS B3L3C7 | Genetic Counselor | 2020-07-01 ~ 2021-06-30 |
| Karlis P Skulte | 10 Rye Meadow Lane, Halifax, MA 02338 | Professional Engineer | 2020-03-31 ~ 2021-01-31 |
| Kimberly A Aguas | 8 Shady Ln, Halifax, NS 83n1t9 | Speech and Language Pathologist | 2020-04-01 ~ 2021-03-31 |
| Robert W Ross | 198 Thompson St, Halifax, MA 02338 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Scott Elliott · Elliott Construction@services | 126 Clyde O Bosworth Rd, Halifax, MA 02338 | Home Improvement Contractor | 2019-07-19 ~ 2019-11-30 |
| Amy Loughhead Moore | 2160 Swain Rd, Halifax, VA 24558-2278 | Radiographer | 2020-02-01 ~ 2021-01-31 |
| David Charles Eosue | 326 Holmes St, Halifax, MA 02338-1024 | Repairer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| Gary Carlson | 212 Thompson St, Halifax, MA 02338-1614 | Electrical Unlimited Journeyperson | 2016-10-01 ~ 2017-09-30 |
| Lea C Mason | 390 Plymouth St, Halifax, MA 02338-1343 | Emergency Medical Technician | 2018-06-25 ~ 2020-04-01 |
| Find all Licenses in HALIFAX | |||
| City | HALIFAX |
| Zip Code | 05358 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HALIFAX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane R Levien | 138 Cedar Rd, Wilton, CT 06897-3631 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Diane St. Pierre | 22-7 Hudson St, Bethel, CT 06801-2031 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Diane M Barnes Pa | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Diane B Keckley Pa | 4 Dairy Lane, Cromwell, CT 06416 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Diane M Brown Pa | 3259 Hone Ave, Bronx, NY 10469 | Physician Assistant | 2006-08-31 ~ 2007-08-31 |
| Diane C Erianne Pa | 10 Kimberly Lane, Watertown, CT 06795 | Physician Assistant | 2012-05-01 ~ 2013-04-30 |
| Diane Miller | 217 Kelzie Peeler Rd., Murray, KY 42071 | Physician Assistant | 2010-11-01 ~ 2011-10-31 |
| Hilary Diane Sugar | 103 Fairview Avenue, Boonton, NJ 07005 | Physician Assistant | ~ |
| Lauren Johnson | 9356 Nw 8th Circle, Plantation, FL 33324 | Physician Assistant | ~ |
| Denise M Johnson Pa | 16 Orchard Drive, Uncasville, CT 06382 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on DIANE R JOHNSON PA.
| 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).