JONATHAN D. STEPHENSON (Credential# 1081203) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2016. The license expiration date date is July 31, 2017. The license status is INACTIVE.
JONATHAN D. STEPHENSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051504. The credential type is physician/surgeon. The effective date is August 1, 2016. The expiration date is July 31, 2017. The business address is 629d Lowther Rd, Lewisberry, PA 17339-9222. The current status is inactive.
| Licensee Name | JONATHAN D. STEPHENSON |
| Credential ID | 1081203 |
| Credential Number | 1.051504 |
| Credential Type | Physician/Surgeon |
| Business Address |
629d Lowther Rd Lewisberry PA 17339-9222 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-11-28 |
| Effective Date | 2016-08-01 |
| Expiration Date | 2017-07-31 |
| Refresh Date | 2017-11-03 |
| Street Address | 629D LOWTHER RD |
| City | LEWISBERRY |
| State | PA |
| Zip Code | 17339-9222 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Neeti B. Goel | 629d Lowther Rd, Lewisberry, PA 17339-9222 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Richard P Moser IIi | 629d Lowther Rd, Lewisberry, PA 17339-9222 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Sarah H. Shipley | 629d Lowther Rd, Lewisberry, PA 17339-9222 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Samir C Jethwa | 629d Lowther Rd, Lewisberry, PA 17339-9222 | Physician/surgeon | 2013-12-02 ~ 2014-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristin M Mcmahon | 760 Seitz Drive, Lewisberry, PA 17339 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Owen Patrick Mcmahon | 760 Seitz Drive, Lewsiberry, PA 17339 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Gastroparesis Patient Association for Cures and Treatments Inc. | Po Box 197, Lewisberry, PA 17339 | Public Charity-exempt From Financial Requirements | ~ |
| Douglas C Tilley | 1020 Silver Lake Rd, Lewisberry, PA 17339-9118 | Architect | ~ |
| Chad W Coeyman | 629 Lowther Rd # D, Lewisberry, PA 17339-9527 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Zoetis Us LLC | 543 Industrial Dr Ste B, Lewisberry, PA 17339-9532 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2013-07-23 ~ |
| City | LEWISBERRY |
| Zip Code | 17339 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LEWISBERRY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leroi A. Stephenson Md | 333 Cedar St # Tmp-3, New Haven, CT 06510-3206 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Carol A. Stephenson | 777 Celia Dr Se, Hartselle, AL 35640-3321 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Stephenson Interiors Inc | 30 Terrace Ave, Niantic, CT 06357-3011 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| 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 |
| Pearlette D Lambert Stephenson · Stephenson | 44 Woodstock St, Waterbury, CT 06704 | Licensed Practical Nurse | 2016-10-01 ~ 2017-09-30 |
| Ross R Stephenson · Stephenson & Son's Construction | 130 S Riverside Ave, Pequabuck, CT 06786 | Home Improvement Contractor | 2004-10-28 ~ 2005-11-30 |
| Jonathan Goldstein | 513 Rio Grande Ave, Santa Fe, NM 87501-1311 | Physician/surgeon | ~ |
| Jonathan L Killam | 333 Cedar St, New Haven, CT 06520-8042 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).