JOHAN VAN JAARSVELD
Physician/surgeon


Address: 81 Deer Run Road, Woodbridge, CT 06525

JOHAN VAN JAARSVELD (Credential# 1150577) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2014. The license expiration date date is March 31, 2015. The license status is INACTIVE.

Business Overview

JOHAN VAN JAARSVELD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051848. The credential type is physician/surgeon. The effective date is April 1, 2014. The expiration date is March 31, 2015. The business address is 81 Deer Run Road, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name JOHAN VAN JAARSVELD
Credential ID 1150577
Credential Number 1.051848
Credential Type Physician/Surgeon
Business Address 81 Deer Run Road
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-04-16
Effective Date 2014-04-01
Expiration Date 2015-03-31
Refresh Date 2015-07-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1159648 CSP.0054571 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-05-06 2013-05-06 - 2015-02-28 INACTIVE

Office Location

Street Address 81 Deer Run Road
City Woodbridge
State CT
Zip Code 06525

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Competitor

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City Woodbridge
Zip Code 06525
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Woodbridge

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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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