JEFFREY MAWHINNEY DO (Credential# 538003) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JEFFREY MAWHINNEY DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000256-DO. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 5810 Kingstown Center #120-195, Alexandria, VA 22315. The current status is active.
Licensee Name | JEFFREY MAWHINNEY DO |
Credential ID | 538003 |
Credential Number | 1.000256-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
5810 Kingstown Center #120-195 Alexandria VA 22315 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1988-07-12 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-02-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
159379 | CSP.0017259 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 5810 KINGSTOWN CENTER #120-195 |
City | ALEXANDRIA |
State | VA |
Zip Code | 22315 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey M Wood | 5811 Clapham Road, Alexandria, VA 22315 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Curtis L Dubay | 7445 Brighouse Ct, Alexandria, VA 22315 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Ellen V Makar | 6101 Fairview Farm Dr Unit 205, Alexandria, VA 22315 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Osman M Ahmedtaha | 6490 Brickleigh Ct, Alexandria, VA 22315 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Thao T Nguyen · Nguyen | 7155 Lake Cove Dr, Alexandria, VA 22315 | Registered Nurse | 2017-03-01 ~ 2018-02-28 |
Nancy A Newton | 6608 Dunwich Way, Kingstowne, VA 22315 | Registered Nurse | 2012-12-01 ~ 2013-11-30 |
Tanner C Armstrong | 6456 Waterfield Rd, Alexandria, VA 22315 | Engineer-in-training | ~ |
Elizabeth W Trivett | 6208 Roudsby Lane, Alexandria, VA 22315 | Professional Counselor | 2004-02-20 ~ 2005-02-28 |
Alice M Zawacki · Barbes | 6005 Liverpool Lane, Alexandria, VA 22315 | Nursing Home Administrator | 2002-11-22 ~ 2003-11-30 |
Chester A Woffard IIi | 7707 Wiley Creek Way, Alexandria, VA 22315 | Registered Nurse | 2006-05-15 ~ 2007-01-31 |
Find all Licenses in zip 22315 |
City | ALEXANDRIA |
Zip Code | 22315 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + ALEXANDRIA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey J Lim | P O Box 158, Guymon, OK 73942-0158 | Physician/surgeon | 1998-03-30 ~ 1999-04-30 |
Jeffrey B Howe | P O Box 366, Eastford, CT 06242 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Jeffrey E Epstein | 25 Glenbrook Rd, Stamford, CT 06902-2871 | Physician/surgeon | ~ |
Jeffrey D Rosen | P.o. Box 558, Ludlow, VT 05149 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
Jeffrey Y Ngeow | 535 E 70 St, New York, NY 10021 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
Jeffrey Kwan | 118 Heather Dr, Atherton, CA 94027-2120 | Physician/surgeon | ~ |
Jeffrey L Bobrowitz | 86 Valleywood Rd, Cos Cob, CT 06807-2321 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Jeffrey Begleiter Md | Po Box 306, Canton, CT 06019-0306 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jeffrey T Pan Md | 41 Ironwood Rd, Guilford, CT 06437 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Jeffrey K Bigelow | 111 Park St, # 12-5, New Haven, CT 06571 | Physician/surgeon | 2009-07-03 ~ 2010-07-31 |
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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).