NAOMI NADINE JOHNSON WAI (Credential# 743483) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2009. The license expiration date date is October 31, 2010. The license status is INACTIVE.
NAOMI NADINE JOHNSON WAI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001734. The credential type is physician assistant. The effective date is November 1, 2009. The expiration date is October 31, 2010. The business address is 1160 N. Academy Street, Galesburg, IL 61401. The current status is inactive.
| Licensee Name | NAOMI NADINE JOHNSON WAI |
| Credential ID | 743483 |
| Credential Number | 23.001734 |
| Credential Type | Physician Assistant |
| Business Address |
1160 N. Academy Street Galesburg IL 61401 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-11-21 |
| Effective Date | 2009-11-01 |
| Expiration Date | 2010-10-31 |
| Refresh Date | 2011-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 432129 | CSP.0038927 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-17 | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 1160 N. Academy Street |
| City | Galesburg |
| State | IL |
| Zip Code | 61401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna L Crimmin | 216 Illini Drive, Galesburg, IL 61401 | Registered Nurse | 1995-01-04 ~ 1996-01-31 |
| Alan A Tomasko | 188 Knox Road 720 N, Galesburg, IL 61401 | Physical Therapist | 2004-11-17 ~ 2005-08-31 |
| Jose I Gutierrez | 1548 Woodbine Cir N, Galesburg, IL 61401-2340 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Tiana Denise Brown | 1130 N Kellogg St, Galesburg, IL 61401-2817 | Registered Nurse | 2019-10-21 ~ 2020-10-31 |
| Jeffery R Chambers | 1534 E North St, Galesburg, IL 61401-4130 | Registered Nurse | 2011-01-01 ~ 2011-12-31 |
| National Association for The Exchange of Industrial Resources | 560 Mcclure St, Galesburg, IL 61401-4286 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Christopher S Kinne | 991 S Cedar St, Galesburg, IL 61401-5921 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara A Bourque | 3814 Briar Patch Ln, Galesburg, MI 49053-9781 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Theresa J Meinert | 9156 Weathervane Trl, Galesburg, MI 49053-9777 | Audiologist | 2020-03-01 ~ 2021-02-28 |
| Victoria L Collins | 46 Grove, Galesburg, MI 49053 | Registered Nurse | 2002-09-23 ~ 2003-06-30 |
| City | Galesburg |
| Zip Code | 61401 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Galesburg |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nadine F Scott Pa | 59 Sunnybrook Dr, Avon, CT 06001-2529 | Physician Assistant | 2013-01-01 ~ 2013-12-31 |
| Nadine S Gartner | 18931 Treebranch Ter, Germantown, MD 20874 | Physician Assistant | ~ 1996-09-30 |
| Nadine Johnson · Johnson | 16 Greenwood Avenue, Bloomfield, CT 06002 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Lauren Johnson | 9356 Nw 8th Circle, Plantation, FL 33324 | Physician Assistant | ~ |
| Guerlande Louis | 10 25 Reynolds Road, Johnson, NY 13790 | Physician Assistant | 2017-12-01 ~ 2018-11-30 |
| Alison C Johnson | 130 Vining Hill Rd, Southwick, MA 01077-9413 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Denise M Johnson Pa | 16 Orchard Drive, Uncasville, CT 06382 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jake Michael Johnson | 21 Vista Dr, Shelton, CT 06484-1696 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Diane R Johnson Pa | 5841 Route 112, Halifax, VT 05358 | Physician Assistant | 2008-11-17 ~ 2009-11-30 |
| Sharon M Johnson | 42 Bradford Walk, Farmington, CT 06032-4530 | Physician Assistant | 2013-06-01 ~ 2014-05-31 |
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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).