JOHN VAN WAGONER (Credential# 1806185) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 24, 2020. The license expiration date date is November 30, 2020. The license status is ACTIVE.
JOHN VAN WAGONER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064746. The credential type is physician/surgeon. The effective date is January 24, 2020. The expiration date is November 30, 2020. The business address is 6100 Windcom Ct, Plano, TX 75093. The current status is active.
| Licensee Name | JOHN VAN WAGONER |
| Credential ID | 1806185 |
| Credential Number | 1.064746 |
| Credential Type | Physician/Surgeon |
| Business Address |
6100 Windcom Ct Plano TX 75093 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-24 |
| Effective Date | 2020-01-24 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2020-01-27 |
| Street Address | 6100 Windcom Ct |
| City | plano |
| State | TX |
| Zip Code | 75093 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam L Kouyoumjian | 4031 West Plano Parkway, Plano, TX 75093 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Khalid Mohammed Yousuf | 4716 Alliance Blvd, Plano, TX 75093 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael A Ficker | 2740 Dallas Parkway, Plano, TX 75093 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jennie M Daley | 5220 Sky Lake Drive, Plano, TX 75093 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| E Mark Malouf | 3905 Wishing Well Lane, Plano, TX 75093 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Julie L Raecek · Targowski | 5856 Pebblestone Lane, Plano, CT 75093 | Dental Hygienist | 2018-09-01 ~ 2019-08-31 |
| Yackita Shawnel Dorsey | 4701 Preston Park Blvd, Plano, TX 75093 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Nancy Louise Cannon | 3001 Communications Pkwy, Plano, TX 75093 | Registered Nurse | 2017-10-01 ~ 2018-09-30 |
| Plaid Pockets Inc | 5960 W Parker Rd #278-114, Plano, TX 75093 | Manufacturer of Bedding & Upholstered Furniture | 2005-05-13 ~ 2006-04-30 |
| Kathleen L Nittolo | 4720 Altessa Drive, Plano, TX 75093 | Certified Public Accountant License | 2017-01-01 ~ 2017-12-31 |
| Find all Licenses in zip 75093 | |||
| City | plano |
| Zip Code | 75093 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + plano |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John S Kennedy | Psc 836 Box 56 | Physician/surgeon | 2002-03-19 ~ 2002-12-31 |
| John C Radford | Po Box 248, Ellicottville, NY 14731-0248 | Physician/surgeon | ~ |
| John C Daniels | Po Box 788, Pawling, NY 12564 | Physician/surgeon | 1999-05-06 ~ 2000-05-31 |
| John S Lee | 99 Pigeon Rd, Willimantic, CT 06226-1320 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| John T Rigney | Po Box 252, Chappaqua, NY 10514 | Physician/surgeon | 1998-09-17 ~ 1999-09-30 |
| John A Day Jr | P.o. Box 1018, Woodstock, CT 06281 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John Hwa | 300 George St Ste 759h, New Haven, CT 06511-6664 | Physician/surgeon | ~ |
| John F. Whitney | R-5l, Albany, NY 12211 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
| John W Thompson | Rr1 Box 699, Kennebunkport, ME 04046 | Physician/surgeon | 1993-02-25 ~ 1993-10-31 |
Please comment or provide details below to improve the information on JOHN VAN WAGONER.
| 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).