MALCOLM K JOHNSON (Credential# 1378455) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 3, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
MALCOLM K JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055804. The credential type is physician/surgeon. The effective date is October 3, 2019. The expiration date is September 30, 2020. The business address is 420 Jefferson Ave Apt 1, Brooklyn, NY 11221-1087. The current status is active.
| Licensee Name | MALCOLM K JOHNSON |
| Credential ID | 1378455 |
| Credential Number | 1.055804 |
| Credential Type | Physician/Surgeon |
| Business Address |
420 Jefferson Ave Apt 1 Brooklyn NY 11221-1087 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-10-06 |
| Effective Date | 2019-10-03 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-10-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1171001 | CSP.0055100 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-02 | 2017-03-01 - 2019-02-28 | LAPSED |
| 1383554 | CSP.0064172 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-10-12 | 2016-10-12 - 2017-02-28 | INACTIVE |
| Street Address | 420 JEFFERSON AVE APT 1 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11221-1087 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha Benicourt | 1027 Lafayette Avenue, Brooklyn, NY 11221 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Ellen Sara Fields | 126 Palmetto St, Brooklyn, NY 11221 | Master's Level Social Worker | 2020-03-01 ~ 2021-02-28 |
| Duclat Bathelmy | 312 Van Buren Street, 2, Brooklyn, NY 11221 | Master's Level Social Worker | 2020-03-01 ~ 2021-02-28 |
| James W Prouty | 129 Stockholm St, New York, NY 11221 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Dreselle Gibbs | 437b Pulaski Street, Apt 2, Brooklyn, NY 11221 | Registered Nurse | 2019-01-03 ~ 2020-01-31 |
| Eveready Development LLC | 607 Quincy St, Brooklyn, NY 11221 | Home Improvement Contractor | 2006-12-29 ~ 2007-11-30 |
| Gabriel Abato · Nutmeg Home Improvement | 230 Stuyvesant Ave, Brooklyn, NY 11221 | Home Improvement Contractor | 2004-07-30 ~ 2004-11-30 |
| Margo Chappell | 721 Jefferson Avenue, Brooklyn, NY 11221 | Master's Level Social Worker | 2016-09-01 ~ 2017-08-31 |
| Diana Thygeson | 1080 Bushwick Ave, Brooklyn, NY 11221 | Master's Level Social Worker | ~ |
| Adalicia Melendez | 566 Gates Avenue, Brooklyn, NY 11221 | Master's Level Social Worker | 2015-05-05 ~ 2015-12-31 |
| Find all Licenses in zip 11221 | |||
| City | BROOKLYN |
| Zip Code | 11221 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BROOKLYN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Malcolm P Johnson | Johnson, Frazier & Wright, Cpa, Atlanta, GA 30360 | Certified Public Accountant Firm Permit | 1985-01-01 ~ 1985-12-31 |
| Malcolm Johnson & Co., P.C. | 210 Highway 17-92, Debary, FL 32753 | Certified Public Accountant Firm Permit | 2010-01-01 ~ 2010-12-31 |
| Malcolm Johnson & Company | P.o. Box 1065, Debary, FL 32713 | Certified Public Accountant Firm Permit | 1996-01-01 ~ 1996-12-31 |
| Malcolm M Ellison | 960 Ocean Ave, New London, CT 06320 | Physician/surgeon | 1994-06-20 ~ 1995-08-31 |
| Malcolm A Galen | 8 Stonepost, Simsbury, CT 06070 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Jing Liu | One Malcolm Avenue, Teterboro, NJ 07608 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Barjinder Darbhanga | 50 Malcolm St, Hamden, CT 06514 | Physician/surgeon | 2008-05-05 ~ 2009-05-31 |
| Malcolm S Edgar Jr | 410 Washington St, Norwich, CT 06360 | Physician/surgeon | 2000-01-10 ~ 2001-03-31 |
| Xinzhu Pang | 1 Malcolm Ave, Teterboro, NJ 07608-1011 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Malcolm Johnson · Johnson Upgrades | 393 Broad St Apt A, New London, CT 06320 | Home Improvement Contractor | 2002-12-18 ~ 2003-11-30 |
Please comment or provide details below to improve the information on MALCOLM K JOHNSON.
| 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).