NEL GO (Credential# 1499209) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
NEL GO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060798. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 856 Glen Haven Circle, Petoskey, MI 49770. The current status is active.
| Licensee Name | NEL GO |
| Credential ID | 1499209 |
| Credential Number | 1.060798 |
| Credential Type | Physician/Surgeon |
| Business Address |
856 Glen Haven Circle Petoskey MI 49770 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-08 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-13 |
| Street Address | 856 Glen Haven Circle |
| City | Petoskey |
| State | MI |
| Zip Code | 49770 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeremy J Anderson | 415 Liberty Street, Petoskey, MI 49770 | Engineer-in-training | 1999-02-09 ~ 2009-02-09 |
| National Policy Institute Inc. | 2826 Howard Road, Petoskey, MI 49770 | Public Charity | ~ |
| Jennifer H Attie | 102 Michigan, Petoskey, MI 49770 | Registered Nurse | 2007-10-02 ~ 2008-09-30 |
| Irene J Okinczyc | 920 Michigan, Petoskey, MI 49770 | Registered Nurse | 2003-08-04 ~ 2004-05-31 |
| Dawn M Gilmore | 1044 Eppler Road, Petoskey, MI 49770 | Registered Nurse | 2005-04-18 ~ 2006-04-30 |
| Holly Alexandra Allen | 513 Monroe St, Petoskey, MI 49770-2266 | Registered Nurse - Temporary | 2020-05-12 ~ 2020-09-09 |
| Adam J Paz | 5940 Resort Pike Rd, Petoskey, MI 49770-8309 | Engineer-in-training | 2009-11-17 ~ 2019-11-17 |
| Us Incorporated | 1691 Us Highway 131 Unit 2, Petoskey, MI 49770-8336 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| City | Petoskey |
| Zip Code | 49770 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Petoskey |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| 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 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| 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 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
Please comment or provide details below to improve the information on NEL GO.
| 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).