JOHN SCOTT NYSTROM (Credential# 946408) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 25, 1976. The license expiration date date is December 31, 1981. The license status is INACTIVE.
JOHN SCOTT NYSTROM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018030. The credential type is physician/surgeon. The effective date is June 25, 1976. The expiration date is December 31, 1981. The business address is 17800 Vernier Rd, Harper Woods, MI 48225-1005. The current status is inactive.
| Licensee Name | JOHN SCOTT NYSTROM |
| Credential ID | 946408 |
| Credential Number | 1.018030 |
| Credential Type | Physician/Surgeon |
| Business Address |
17800 Vernier Rd Harper Woods MI 48225-1005 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1976-06-25 |
| Effective Date | 1976-06-25 |
| Expiration Date | 1981-12-31 |
| Refresh Date | 2010-07-29 |
| Street Address | 17800 VERNIER RD |
| City | HARPER WOODS |
| State | MI |
| Zip Code | 48225-1005 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lindsay Traurig | 20304 Harper Ave Suite 1, Harper Woods, MI 48225 | Behavior Analyst | ~ |
| Rebecca L Davis | 20964 Littlestone, Harperwoods, MI 48225 | Dental Hygienist | 1992-03-24 ~ 1993-03-31 |
| Mark J Gier | 21602 Newcastle, Harper Woods, MI 48225 | Electrical Unlimited Journeyperson | ~ |
| Corey A Moore | 20831 Vernier Rd, Harper Woods, MI 48225-1446 | Asbestos Abatement Worker | 2017-03-27 ~ 2018-05-31 |
| Louis L Forrest | 18580 Washtenaw St, Harper Woods, MI 48225-2146 | Public Service Technician - Telephone | 2011-03-11 ~ 2011-09-30 |
| City | HARPER WOODS |
| Zip Code | 48225 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARPER WOODS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott M Terranella Md | 5 Saint John Connector, New Haven, CT 06511-4964 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| John J Nystrom | 67 New Ludlow Road Apt. 11, Granby, MA 01033 | Limited Sheet Metal Journeyperson | 2009-09-01 ~ 2010-08-31 |
| Jonathan Edward Scott | CT | Physician/surgeon | ~ |
| Scott M Hartzell | 137 Jpm Rd, Lewisburg, PA 17837-9313 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Scott Horn | 76 Coachlamp Ln, Darien, NY 06820 | Physician/surgeon | ~ |
| Scott T Rottinghaus | Po Box 831, Dover, MA 02030 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Scott Ellis | 523 E 72nd St Fl 5, New York, NY 10021-4099 | Physician/surgeon | ~ |
| Scott Yager | 32 W 40 St Apt 9c, New York, NY 10018 | Physician/surgeon | 1993-12-27 ~ 1994-12-31 |
| Scott A Weiner Md | 34 Maple St, Norwalk, CT 06850-3815 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott K Heysell Md | 976 Townsend Ave, New Haven, CT 06512 | Physician/surgeon | 2008-06-09 ~ 2009-06-30 |
Please comment or provide details below to improve the information on JOHN SCOTT NYSTROM.
| 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).