JEANNINE MARIE BREVIK (Credential# 2038590) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is PENDING.
JEANNINE MARIE BREVIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is 8100 Sw Nyberg St Ste 400, Tualatin, OR 97062-8439. The current status is pending.
| Licensee Name | JEANNINE MARIE BREVIK |
| Credential ID | 2038590 |
| Credential Number | 1 |
| Credential Type | Physician/Surgeon |
| Business Address |
8100 Sw Nyberg St Ste 400 Tualatin OR 97062-8439 |
| Business Type | INDIVIDUAL |
| Status | PENDING - PENDING |
| Refresh Date | 2020-04-24 |
| Street Address | 8100 SW NYBERG ST STE 400 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-8439 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Union Wine Company | 19550 Sw Cipole Road, Tualatin, OR 97062 | Out of State Winery | 2020-06-29 ~ 2021-06-28 |
| Carabella Vineyard & Winery LLC · Carabella Vineyard | 19550 Southwest Cipole Road, Tualatin, OR 97062 | Out of State Winery | 2019-11-11 ~ 2020-11-01 |
| Anita Matlock | 6005 Sw Sequoia Drive, Tualatin, OR 97062 | Licensed Practical Nurse | 2017-07-01 ~ 2018-06-30 |
| Krystal Amberly Cohn | 23325 Sw Stafford Rd., Tualatin, OR 97062 | Registered Nurse | 2015-10-14 ~ 2016-06-30 |
| Jennifer Zawacki | 22729 Sw Cowlitz Drive, Tualatin, OR 97062 | Registered Nurse | 2014-04-01 ~ 2015-03-31 |
| Western Wood Structures Inc | 20675 Sw 105th Ave, Tualatin, OR 97062 | Professional Engineering Corporation | ~ |
| Carol L Terry | 8325 Sw Mohawk St, Tualatin, OR 97062 | Hairdresser/cosmetician | 1992-05-27 ~ 1993-04-30 |
| Food Safety Manufacturing Associates LLC | 9172 Sw Arapaho Rd, Tualatin, OR 97062-6339 | Commercial Feed | 2016-01-25 ~ 2016-12-31 |
| Wellpartner, LLC · Wellpartner Pharmacy #48609 | 20800 Sw 115th Ave Ste 100, Tualatin, OR 97062-6863 | Nonresident Pharmacy | 2017-09-01 ~ 2018-08-31 |
| Alagille Syndrome Alliance · Algsa | 22885 Sw 94th Ter, Tualatin, OR 97062-7294 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 97062 | |||
| City | TUALATIN |
| Zip Code | 97062 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TUALATIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeannine J Stanwood | 100 Powder Point Ave., Duxbury, MA 02332 | Physician/surgeon | 2003-03-27 ~ 2004-03-31 |
| Jeannine Giovanni Md | 1 J Talcott Forest Rd, Farmington, CT 06032 | Physician/surgeon | 2006-03-15 ~ 2007-03-31 |
| Jeannine T Walters | 1951 S Wood Duck Ln, Boise, ID 83706-6102 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Jeannine Marie Cox | 5 Mason St, Johnstown, NY 12095-1232 | Registered Nurse | 2010-03-25 ~ 2010-09-30 |
| Jeannine Marie Wadman | 6 Hidden Hill Rd, New Hartford, CT 06057-3535 | Registered Nurse | ~ 2017-12-31 |
| Jeannine Marie Cavalier | 800 Totoket Road, Northford, CT 06472 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Marie-laure Romney | 615 W 131st St Fl 3, New York, NY 10027-7922 | Physician/surgeon | ~ |
| Marie K Carter Md | 75 Oswegatchie Rd, Waterford, CT 06385 | Physician/surgeon | 2002-05-28 ~ 2003-05-31 |
| Shauna Marie Smith | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ann Marie Connor | 848 Nebraska Ave W, St Paul, MN 55117 | Physician/surgeon | 1996-10-02 ~ 1997-11-30 |
Please comment or provide details below to improve the information on JEANNINE MARIE BREVIK.
| 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).