JEAN CHRISTOPHER PURVIS (Credential# 1644288) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
JEAN CHRISTOPHER PURVIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064052. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is August 31, 2020. The business address is Po Box 2121, Fort Defiance, AZ 86504-2121. The current status is active.
| Licensee Name | JEAN CHRISTOPHER PURVIS |
| Credential ID | 1644288 |
| Credential Number | 1.064052 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 2121 Fort Defiance AZ 86504-2121 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-01 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-08-02 |
| Street Address | PO BOX 2121 |
| City | Fort Defiance |
| State | AZ |
| Zip Code | 86504-2121 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ernest S Ferjentsik | Po Box 408, Ft Defiance, AZ 86504 | Dentist | 1998-02-19 ~ 1999-03-31 |
| Patrick Gleason Quinn | P.o. Box 106, Fort Defiance, AZ 86504 | Physician/surgeon | 1990-01-12 ~ 1990-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula M Leduc · Duquette | P.o. Box 1752, Fort Defiance, AZ 96504 | Registered Nurse | 2000-06-05 ~ 2001-08-31 |
| City | Fort Defiance |
| Zip Code | 86504 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Fort Defiance |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Taylor Purvis | 2800 Main St, Bridgeport, CT 06606 | Resident Physician | 2019-07-01 ~ 2020-06-30 |
| Jean K Yi | 2 Old Barn Ln, Malvern, PA 19355-3306 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Christopher A Lum | CT | Physician/surgeon | ~ |
| Max Jean-gilles | 400 Columbus Ave, New Haven, CT 06519-1233 | Physician/surgeon | 1984-06-19 ~ 1987-10-31 |
| Jean B Case | 54 Tanglewylde Ave, Bronxville, NY 10708 | Physician/surgeon | 2005-03-24 ~ 2006-05-31 |
| Alan Studner | 303 Jean Pl, Vienna, VA 22180 | Physician/surgeon | 1993-09-23 ~ 1994-11-30 |
| Jean P Simon | 36 E 70 Th Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jean R Haymond | 820 Wallberg Ave, Westfield, NJ 07090 | Physician/surgeon | 1995-07-20 ~ 1996-06-30 |
| Smita Bhatt | 5 Jean Pl, Syosset, NY 11791-5914 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jean M Weigert | 124 Hebron Ave Ste 1b, Glastonbury, CT 06033-2066 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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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).