JENNIFER H JOHNSTON (Credential# 1332943) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2016. The license expiration date date is November 30, 2017. The license status is INACTIVE.
JENNIFER H JOHNSTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055125. The credential type is physician/surgeon. The effective date is December 1, 2016. The expiration date is November 30, 2017. The business address is 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349. The current status is inactive.
Licensee Name | JENNIFER H JOHNSTON |
Credential ID | 1332943 |
Credential Number | 1.055125 |
Credential Type | Physician/Surgeon |
Business Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5349 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2016-04-05 |
Effective Date | 2016-12-01 |
Expiration Date | 2017-11-30 |
Refresh Date | 2018-03-05 |
Street Address | 11995 SINGLETREE LN STE 500 |
City | EDEN PRAIRIE |
State | MN |
Zip Code | 55344-5349 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ira M Tyler | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arlene Sussman | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Albert C Ybasco | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Gregg P Sydow | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Scott R Kerns | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Jennifer Sur Gutierrez | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Reem S Awwad | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Alan S Muraki | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Steven B Edson | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Bruce J Thaler | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Richard L Toothman | 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
Christian Binder | Suite 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2012-02-01 ~ 2013-01-31 |
Priti B Ram Md | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
Peter D Holt | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2015-05-01 ~ 2016-04-30 |
Eduard Michel | 11995 Singletree Ln, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Richard S Chang | 11995 Singletree Ln, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2010-03-01 ~ 2011-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Donald T Nicell | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Neuroone Medical Technologies Corp | 7599 Anagram Dr, Eden Prairie, MN 55344 | Securities - Exemptions | 2020-05-15 ~ |
Robert Edward Stone | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Daniel James Tangert | 6400 Fallbrook Rd., Eden Prairie, MN 55344 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Dmitry Bolkhovets | 11995 Singletree Ln, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Zinpro | 104000 Vikings Drive, Suite 240, Eden Prairie, MN 55344 | Commercial Feed | 2020-03-05 ~ 2020-12-31 |
Michael Wallace Sentome | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Stephanie Denise Johnson | 8423 Cortland Rd, Eden Prairie, MN 55344 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Ashley Nicole Ingram | 11000 Optum Circle, Eden Prairie, MN 55344 | Registered Nurse | 2020-01-16 ~ 2020-08-31 |
Colleen M Steven | 13900 Chestnut Drive # 208, Eden Prarie, MN 55344 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Find all Licenses in zip 55344 |
City | EDEN PRAIRIE |
Zip Code | 55344 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + EDEN PRAIRIE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert H Johnston · Johnston & Johnston | Brewer Hill Rd, Mill River, MA 01244 | Home Improvement Contractor | ~ 1994-12-01 |
Peter S Johnston | P.o. Box 67, Barryville, NY 12719 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Janice J Johnston | 29 Ridge Rd, Simsbury, CT 06070-2133 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
David L Johnston Do | 158 Danbury Rd Ste 8, Ridgefield, CT 06877-3200 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Robert M Johnston | 65 Gibson St., Leesburg, VA 22075 | Physician/surgeon | 1969-10-02 ~ 1981-11-30 |
Charles J Middleton | 210 E. Johnston Street, Tarboro, NC 27886 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
Richard B Johnston Jr | Dept of Pediatrics, New Haven, CT 06520 | Physician/surgeon | 1998-06-26 ~ 1999-08-31 |
Jonathan William Winkler | 27 Rockcrest Ln, Johnston, RI 02919-6070 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Wilbur D Johnston | 4 Ridgecrest La, North Haven, CT 06473 | Physician/surgeon | 1997-08-28 ~ 1998-08-31 |
Ayman R Farag | 731 Johnston Ter, Staten Island, NY 10309-3917 | 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).