NATHANIEL EVAN SMITH
Resident Physician


Address: 3551 Roger Brooke Dr., San Antonio, TX 78234

NATHANIEL EVAN SMITH (Credential# 1519687) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2020. The license status is ACTIVE.

Business Overview

NATHANIEL EVAN SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061198-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2020. The business address is 3551 Roger Brooke Dr., San Antonio, TX 78234. The current status is active.

Basic Information

Licensee Name NATHANIEL EVAN SMITH
Credential ID 1519687
Credential Number 1.061198-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 3551 Roger Brooke Dr.
San Antonio
TX 78234
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-07-01
Effective Date 2018-07-01
Expiration Date 2020-06-30
Refresh Date 2019-05-16

Other licenses

ID Credential Code Credential Type Issue Term Status
1459607 1.057285 Physician/Surgeon 2018-01-11 2018-09-01 - 2019-08-31 INACTIVE

Office Location

Street Address 3551 Roger Brooke Dr.
City San Antonio
State TX
Zip Code 78234

Licenses in the same city

Licensee Name Office Address Credential Effective / Expiration
Air Force Villages Charitable Foundation 5100 John D Ryan Blvd, San Antonio, TX 78245-3527 Public Charity 2019-06-28 ~ 2020-05-31
Jennifer M Poteet 9418 Geronimo Oaks St, San Antonio, TX 78254-1724 Registered Nurse 2020-07-01 ~ 2021-06-30
Whitney Marie Mick 8034 Blackhawk Pass, San Antonio, TX 78253 Registered Nurse ~
Venkata Praveen Mallina 12330 Vance Jackson Rd, San Antonio, TX 78230 Registered Nurse ~
Marlene Lodge 13999 Old Blanco Road #213, San Antonio, TX 78216 Registered Nurse 2020-07-01 ~ 2021-06-30
Elvia Shope 7458 Weybridge, San Antonio, TX 78250-3360 Registered Nurse 2020-07-01 ~ 2021-06-30
Mark A. Romero 6118 Wisteria Hl, San Antonio, TX 78218-3108 Registered Nurse 2020-06-24 ~ 2021-04-30
Marilyn D Roca Montes 26719 Rustic Brk, San Antonio, TX 78261-2384 Registered Nurse 2020-07-01 ~ 2021-06-30
Jill Suanne Galvan 9603 Bandera Rd Apt 1021, San Antonio, TX 78250-5604 Registered Nurse 2020-06-19 ~ 2020-11-30
Chaya Malka L Galin · Cheryl Lynch 1540 W Bitters Rd Apt 2025, San Antonio, TX 78248-1494 Registered Nurse 2020-08-01 ~ 2021-07-31
Find all Licenses in San Antonio

Competitor

Search similar business entities

City San Antonio
Zip Code 78234
License Type Resident Physician
License Type + County Resident Physician + San Antonio

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Dataset Information

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).

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