JIMMY ROBERT KLUGH (Credential# 1418226) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JIMMY ROBERT KLUGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056988. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 460 Washington Rd., Washington, PA 15301. The current status is active.
| Licensee Name | JIMMY ROBERT KLUGH |
| Credential ID | 1418226 |
| Credential Number | 1.056988 |
| Credential Type | Physician/Surgeon |
| Business Address |
460 Washington Rd. Washington PA 15301 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-09-06 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1449596 | CSP.0066750 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-09-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 460 Washington Rd. |
| City | Washington |
| State | PA |
| Zip Code | 15301 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cameron Coca Cola Bottling Co · Coca Cola Ent Inc Dba | 124 W Maiden St, Washington, PA 15301 | Non-alcoholic Beverage & Water Bottlers | 2008-07-01 ~ 2009-06-30 |
| Todd D Post | 50-m Moore Rd, Washington, PA 15301 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Diana L Remcheck | 2162 The Circle, Washington, PA 15301 | Registered Nurse | 2009-05-22 ~ 2010-06-30 |
| Whitney P Haring-smith | 238 East Wheeling St, Washington, PA 15301 | Emergency Medical Technician | 2007-12-18 ~ 2009-04-01 |
| Patricia E Cain | 231 N Main St, Washington, PA 15301 | Registered Nurse | 1996-08-16 ~ 1997-09-30 |
| Kylee Heck | 385 Wilbert Ave, Washington, PA 15301-2831 | Registered Nurse | 2016-02-03 ~ 2016-12-31 |
| Devin A Stevenson | 385 Wilbert Ave, Washington, PA 15301-2831 | Registered Nurse | 2016-04-04 ~ 2016-08-31 |
| Jimalea Haines | 735 Allison Ave Apt 1, Washington, PA 15301-4107 | Registered Nurse | 2011-09-01 ~ 2012-08-31 |
| Washington & Jefferson College | 60 S Lincoln St, Washington, PA 15301-4812 | Public Charity-exempt From Financial Requirements | 2013-08-06 ~ |
| Alexandra Minnis | 655 Murdoch St, Washington, PA 15301-5247 | Registered Nurse - Temporary | 2020-05-14 ~ 2020-09-11 |
| Find all Licenses in zip 15301 | |||
| City | Washington |
| Zip Code | 15301 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Washington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jimmy Truong | 615 W 131st St Fl 3, New York, NY 10027-7922 | Physician/surgeon | ~ |
| Jimmy O Lao | 47-19 167th Street, Flushing, NY 11358 | Physician/surgeon | 1992-05-27 ~ 1993-04-30 |
| Jimmy C Costin | Po Box 7173, Wilmington, DE 19803 | Physician/surgeon | 1981-01-01 ~ 1986-04-15 |
| Jimmy L Tiu | 9 Jones Place, Jersey City, NJ 07306 | Physician/surgeon | ~ 1997-01-31 |
| Bryan J Moore | 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141 | Physician/surgeon | 2019-09-23 ~ 2020-07-31 |
| Roy Armand Poblete | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alexander Zubkov | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Sebina Bulic | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Mark N Rubin | 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141 | Physician/surgeon | 2019-10-11 ~ 2020-10-31 |
| Amirhossein Zangiabadi | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
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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).