JOHN S MONTGOMERY MD (Credential# 259244) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
JOHN S MONTGOMERY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030417. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 3073 Fawn Dr, Park City, UT 84098. The current status is inactive.
Licensee Name | JOHN S MONTGOMERY MD |
Credential ID | 259244 |
Credential Number | CSP.0030417 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
3073 Fawn Dr Park City UT 84098 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2015-03-01 |
Expiration Date | 2017-02-28 |
Refresh Date | 2018-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
540844 | 1.013745 | Physician/Surgeon | 1968-11-29 | 2015-10-01 - 2016-09-30 | INACTIVE |
Street Address | 3073 FAWN DR |
City | PARK CITY |
State | UT |
Zip Code | 84098 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jill A Jones | 7364 Tall Oaks Cir, Park City, UT 84098 | Architect | 2018-08-01 ~ 2019-07-31 |
Christina N Van Atta | 1684 Fox Hollow Ln Apt H8, Park City, UT 84098 | Registered Nurse | 2020-05-01 ~ 2020-12-31 |
Jeffrey J Jonas | 229 Parleys Road, Park City, UT 84098 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Raouf A. Hussain | 2712 Cottage Loop, Park City, UT 84098 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Nicholas G Miller | 1576 Little Lake Drive, Park City, UT 84098 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Dw Healthcare Affiliates V., Lp | 1413 Center Drive, Park City, UT 84098 | Securities - Exemptions | 2019-11-14 ~ |
John J Fahey | 5950 North Kingsford Avenue, Park City, UT 84098 | Notary Public Appointment | 2003-04-10 ~ 2008-04-30 |
Matthew David Hammond | 6875 North Earl Stree, Park City, UT 84098 | Physician/surgeon | ~ |
Ralph M Stanislaw | Po Box 980055, Park City, UT 84098 | Architect | 2012-08-01 ~ 2013-07-31 |
Darlene B Wasilewski | P.o. Box 982672, Park City, UT 84098 | Certified Public Accountant License | 1998-01-01 ~ 1998-12-31 |
Find all Licenses in zip 84098 |
City | PARK CITY |
Zip Code | 84098 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PARK CITY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrea M Montgomery | Dept of Ob Gyn, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
G Montgomery Winship Md | 16 Mt Laurel Ct, Cromwell, CT 06416 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
James H Edwards Md | 3502 Bankhead Ave, Montgomery, AL 36111-2018 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Neil N Patel | 215 Montgomery St, Highland Park, NJ 08904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Susan W Marlatt Md | 32 Montgomery Parkway, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Stephanie C Montgomery | St Francis Hospital and Medical Center, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Montgomery Douglas | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
John K John Md | 706f Doctors Drive, Kinston, NC 28501 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
John P Salerno | P.o. Box 848, Fairfield, CT 06824-6541 | Controlled Substance Registration for Practitioner | 2019-12-19 ~ 2021-02-28 |
John N Utz | 197 Norwich-new, Uncasville, CT 06382 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).