EBONI C JANUARY
Physician/surgeon


Address: 910 Morrison Ave, St Louis, MO 63141

EBONI C JANUARY (Credential# 1685064) 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.

Business Overview

EBONI C JANUARY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064605. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 910 Morrison Ave, St Louis, MO 63141. The current status is active.

Basic Information

Licensee Name EBONI C JANUARY
Credential ID 1685064
Credential Number 1.064605
Credential Type Physician/Surgeon
Business Address 910 Morrison Ave
St Louis
MO 63141
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-11-26
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-06-24

Office Location

Street Address 910 Morrison Ave
City St Louis
State MO
Zip Code 63141

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Guy Elise Constant De Gent One Cityplace Dr, Suite 570, Saint Louis, MO 63141 Physician/surgeon 2020-08-01 ~ 2021-07-31
William P Mcmahon 670 Mason Ridge Center Dr #220, St Louis, MO 63141 Architect 2020-08-01 ~ 2021-07-31
Debra Kay Scudder 12917 Gallagher Road, St. Louis, MO 63141 Registered Nurse 2020-06-01 ~ 2021-05-31
Go Live Well 13035 Olive Blvd Ste #210, Saint Louis, MO 63141 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31
Michael Cummins Cpa PC Three The Pines Court Ste E, St. Louis, MO 63141 Certified Public Accountant Firm Permit 2020-01-01 ~ 2020-12-31
Michael Cummins Cpa 3 The Pines Ct Ste E, St. Louis, MO 63141 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
Kali Marie Boland 12750 Hezel Lane, Creve Coeur, MO 63141 Physical Therapist 2019-11-04 ~ 2020-10-31
Romona Patrice Green One Cityplace Drive, Saint Louis, MO 63141 Registered Nurse 2020-01-01 ~ 2020-12-31
Isabelle Evelyn Condict 711 Country Manor Lane, Creve Coeur, MO 63141 Registered Nurse 2018-05-01 ~ 2019-04-30
Mobius Therapeutics, LLC 1000 Executive Parkway Drive, St. Louis, MO 63141 Out of State Manufacturer of Drugs, Cosmetics & Medical Devices 2019-02-28 ~
Find all Licenses in zip 63141

Competitor

Search similar business entities

City St Louis
Zip Code 63141
License Type Physician/Surgeon
License Type + County Physician/Surgeon + St Louis

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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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