JIANXIONG R BAO (Credential# 1338366) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
JIANXIONG R BAO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055283. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 579 Blue Ridge Crossing, Evans, GA 30809. The current status is active.
Licensee Name | JIANXIONG R BAO |
Credential ID | 1338366 |
Credential Number | 1.055283 |
Credential Type | Physician/Surgeon |
Business Address |
579 Blue Ridge Crossing Evans GA 30809 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-05-20 |
Effective Date | 2020-02-01 |
Expiration Date | 2021-01-31 |
Refresh Date | 2020-01-09 |
Street Address | 579 BLUE RIDGE CROSSING |
City | Evans |
State | GA |
Zip Code | 30809 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jerry Agyare-boaten | 2084 Wythe Dr, Evans, GA 30809 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Irene T Hultin | 4475 Dogwood Court, Evans, GA 30809 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Patricia Deandrea Hammett | 701 Tree Top Trail, Evans, GA 30809 | Registered Nurse | 2017-04-01 ~ 2018-03-31 |
Margaret Louise Daniels | 5430 Everlook Circle, Evans, GA 30809 | Registered Nurse - Temporary | 2017-07-26 ~ 2017-11-22 |
Nagy A Youssef | 4640 La Pointe, Evans, GA 30809 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Jeffrey J Gingera · ****************************** | 4573 Brandermill Ct, Evans, GA 30809 | Land Surveyor | 1991-03-27 ~ 1992-01-31 |
Bart C Shafer | 2284 William Few Pkwy, Evans, GA 30809 | Heating, Piping & Cooling Limited Journeyperson | ~ |
Benjamin Joseph Maule | 4484 Persimmon Ct, Evans, GA 30809 | Engineer-in-training | 1999-02-09 ~ 2009-02-09 |
Kyle B Mcleod Md | 4200 Hannahs Cr0ssing, Evan, GA 30809 | Physician/surgeon | 2005-02-15 ~ 2006-02-28 |
Kelly L Cassedy | 4738 Wildwood Dr, Evans, GA 30809 | Registered Nurse | 2002-01-10 ~ 2003-01-31 |
Find all Licenses in zip 30809 |
City | Evans |
Zip Code | 30809 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Evans |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
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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).