BRENT C. PACKER (Credential# 1191998) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 10, 2013. The license expiration date date is May 31, 2014. The license status is INACTIVE.
BRENT C. PACKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052603. The credential type is physician/surgeon. The effective date is December 10, 2013. The expiration date is May 31, 2014. The business address is 120 State Ave Ne, Olympia, WA 98501. The current status is inactive.
| Licensee Name | BRENT C. PACKER |
| Credential ID | 1191998 |
| Credential Number | 1.052603 |
| Credential Type | Physician/Surgeon |
| Business Address |
120 State Ave Ne Olympia WA 98501 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-12-10 |
| Effective Date | 2013-12-10 |
| Expiration Date | 2014-05-31 |
| Refresh Date | 2014-09-03 |
| Street Address | 120 State Ave NE |
| City | Olympia |
| State | WA |
| Zip Code | 98501 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Spiritual Response Association | 2909 Pacific Avenue Se, Olympia, WA 98501 | Public Charity-exempt From Financial Requirements | ~ |
| Michael W Bianucci | 10101 Hart Rd Se, Olympia, WA 98501 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
| Paul W Schurke | 630 Gov Stevens Ave, Olympia, WA 98501 | Engineer-in-training | 2003-06-10 ~ 2013-06-10 |
| Caroline B O'devlin | 721 Burr Road Se #2, Olympia, WA 98501 | Speech and Language Pathologist | ~ 1997-10-31 |
| Patrick M Mchale | 2423 Vista, Olympia, WA 98501 | Professional Engineer | 2007-02-01 ~ 2008-01-31 |
| Michael A Mahlon | 7539 Kylee Ln Se, Olympia, WA 98501-5118 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Bernadeth S Santander | 1526 Harvest Ave Se, Tumwater, WA 98501-8601 | Physical Therapist | ~ |
| Jeremy S Palmer | 505 Washington St Se Apt 12, Olympia, WA 98501-9304 | Physician Assistant | 2017-08-23 ~ 2018-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kate K Anusewicz | 8136 Sweetbrier Ln Se Apt F204, Olympia, WA 98513-9496 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Evergreen State College Foundation (the) | 2700 Evergreen Parkway, Nw, L1125, Olympia, WA 98505-0005 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Katie Stoll | 2010 Caton Way Sw Ste 102, Olympia, WA 98502-8201 | Genetic Counselor | 2020-05-01 ~ 2021-05-31 |
| Sylvia R Nash | 1001 Cooper Point Rd Sw 140-308, Olympia, WA 98502 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susan M. Kochlefl | 6930 Budd St Nw, Olympia, WA 98502 | Dentist | 2020-01-01 ~ 2020-12-31 |
| Virginia L Watson | 831 Old Pacific Hwy Se, Olympia, WA 98513-9513 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Stephen J Buettler | 502 Puget St Ne, Olympia, WA 98506 | Youth Camp Director | 2019-06-26 ~ |
| Shawn Michael Andrzejczyk · Andrzejczyk | 3440 Surrey Drive Ne, Olympia, WA 98506 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Paul A Morra | 5012 Carole Drive Ne, Olympia, WA 98516 | Pharmacy Technician | 2014-04-01 ~ 2015-03-31 |
| Tyler K Heffner | 6515 110th Ave Sw, Olympia, WA 98512 | Engineer-in-training | 2006-10-17 ~ 2016-10-17 |
| Find all Licenses in Olympia | |||
| City | Olympia |
| Zip Code | 98501 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Olympia |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew J Packer | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Sharon S Packer | 145 4th Avenue, 7k, New York, NY 10003 | Physician/surgeon | 2004-05-04 ~ 2005-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Howard F Packer · Packer Contracting Co | 17 Great Hill Rd, Newtown, CT 06470 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| May Azar | 5 Brent Rd, Lexington, MA 02420-1823 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Brent A Penque | 616 Tahmore Dr, Fairfield, CT 06825-2518 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| J Brent Pawlecki | 507 Surfside Dr, Akron, OH 44319-2746 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Brent Schiffer | 107 Shavano Drive, San Antonio, TX 78231 | Physician/surgeon | 2003-02-11 ~ 2004-02-29 |
| Richard L Brent Md | 29 Chesterfield Rd, East Lyme, CT 06333 | Physician/surgeon | 1998-07-28 ~ 1999-09-30 |
| Carl E Lane | 1123 Brent Road, Barnesville, GA 30204 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on BRENT C. PACKER.
| 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).