OREN W JOHNSON (Credential# 1465143) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
OREN W JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060189. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 758 Chestnut Street, Springfield, MA 01199. The current status is active.
| Licensee Name | OREN W JOHNSON |
| Credential ID | 1465143 |
| Credential Number | 1.060189 |
| Credential Type | Physician/Surgeon |
| Business Address |
758 Chestnut Street Springfield MA 01199 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-04-03 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-18 |
| Street Address | 758 Chestnut Street |
| City | Springfield |
| State | MA |
| Zip Code | 01199 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katya Ford · Ivanov | Baystate Medical Center, Springfield, MA 01199 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Franklin Moore | Departmentt of Pathology, 759 Chestnut St, MA 01199 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kimberly Ann Bucknor | 3400 B Main Street, Springfield, MA 01199 | Controlled Substance Registration for Practitioner | 2020-02-03 ~ 2021-02-28 |
| Kelly A Lynch | Baystate Medical Center, Dept. of Obgyn, Springfield, MA 01199 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Orlando L Torres | 140 High Street, Springfield, MA 01199 | Physician/surgeon | 2005-11-21 ~ 2006-07-31 |
| Christopher N Otis | Baystate Medical Center, Springfield, MA 01199 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kelly M Tyler | Baystate Medical Center, Springfield, MA 01199 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neal E Seymour | Baystate Medical Center, Springfield, MA 01199 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Richard M Engelman | 759 Chestnut St, Springfield, MA 01199 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Lawrence C Peters | 759 Chestnut St, Springfield, MA 01199 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Find all Licenses in zip 01199 | |||
| City | Springfield |
| Zip Code | 01199 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Springfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tal Oren | 31 Gorham Avenue, Westport, CT 06880 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Frank Johnson | 17 Mckinley St, Bronxville, NY 10708-1806 | Physician/surgeon | ~ |
| Ray W Johnson | Po Box 10730, Prescott, AZ 86304-0730 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Rebecca L Johnson | P.o. Box 524, Richmond, MA 01254 | Physician/surgeon | 1995-07-27 ~ 1996-08-31 |
| Frank Johnson | 937 Old Eagle Way, Greenwood, IN 46143 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kendall Johnson | 85 Seymour St, Hartford, CT 06106-5501 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Dennis R Johnson | 549 Lowell St, Lexington, MA 02420-1918 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Richard A Johnson | 825 Cornwall Ave, Cheshire, CT 06410-2617 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lorna B Lumicao Md | 153 Johnson Rd, Scarsdale, NY 10583 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| Lucille A Semeraro Md | 111 Johnson Ln, Durham, CT 06422-1808 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
Please comment or provide details below to improve the information on OREN W 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).