PRINCESS THOMAS (Credential# 1491023) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 29, 2015. The license expiration date date is June 30, 2020. The license status is ACTIVE.
PRINCESS THOMAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059125-RES. The credential type is resident physician. The effective date is June 29, 2015. The expiration date is June 30, 2020. The business address is 1644 Bass Rd, Macon, GA 31210. The current status is active.
| Licensee Name | PRINCESS THOMAS |
| Credential ID | 1491023 |
| Credential Number | 1.059125-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
1644 Bass Rd Macon GA 31210 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-06-29 |
| Effective Date | 2015-06-29 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1272924 | CSP.0059723 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-07-21 | 2015-07-21 - 2017-02-28 | INACTIVE |
| Street Address | 1644 Bass Rd |
| City | Macon |
| State | GA |
| Zip Code | 31210 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy K Crawford | 108 South Haven Court, Macon, GA 31210 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Merjohn Mining, LLC | 5082 Forsyth Road, Macon, GA 31210 | Securities - Exemptions | 2020-01-21 ~ |
| Kimberly A. Hardy | 159 Steven Drive, Macon, GA 31210 | Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Martha B Dodd | 828 Fieldstone Drive, Macon, GA 31210 | Registered Nurse | 2013-09-01 ~ 2014-08-31 |
| Amy Z Lee | 152 North Crest Blvd, Macon, GA 31210 | Dentist | 2008-08-18 ~ 2009-09-30 |
| Janet M Gentile | Wesleyan Corners, Mason, GA 31210 | Registered Nurse | 1998-03-11 ~ 1999-05-31 |
| Evea M Addis | 444 Forest Hill Rd, Macon, GA 31210 | Registered Nurse | 2006-03-20 ~ 2007-03-31 |
| Linda L Lofaro · Lofaro | 4658 Mercer Univ Drive, Apt. 1702, Macon, GA 31210 | Registered Nurse | 2003-01-27 ~ 2004-03-31 |
| Denise Fraser · Reavey | 5235 Bowman Rd Apt 2008, Macon, GA 31210-1283 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
| Sleepmed Therapies Inc | 275 Sheraton Blvd # 200, Macon, GA 31210-1359 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-07-01 ~ 2019-06-30 |
| Find all Licenses in zip 31210 | |||
| City | Macon |
| Zip Code | 31210 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Macon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pearl Princess Uy | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2015-06-28 ~ 2018-06-30 |
| Thomas Kim | 111 Pearl Street #515, Hartford, CT 06103 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Melissa Thomas | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-08 ~ 2021-06-30 |
| Thomas Kearns | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-08 ~ 2021-06-30 |
| Thomas Tritt | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2019-07-01 ~ 2024-06-30 |
| Thomas Holowka | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Andrew Thomas Mullin | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Thomas Oliver Mitchell | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2018-06-11 ~ 2022-06-30 |
| Alexander Thomas Janke | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Leonard Thomas Morneau | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on PRINCESS THOMAS.
| 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).