CARL W JOHNSON (Credential# 538601) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 30, 2005. The license expiration date date is September 30, 2006. The license status is INACTIVE.
CARL W JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006075. The credential type is physician/surgeon. The effective date is September 30, 2005. The expiration date is September 30, 2006. The business address is 1033 Enfield Street, Enfield, CT 06082. The current status is inactive.
| Licensee Name | CARL W JOHNSON |
| Credential ID | 538601 |
| Credential Number | 1.006075 |
| Credential Type | Physician/Surgeon |
| Business Address |
1033 Enfield Street Enfield CT 06082 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1948-12-03 |
| Effective Date | 2005-09-30 |
| Expiration Date | 2006-09-30 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 143752 | CSP.0007486 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-04-11 - 2004-02-28 | INACTIVE |
| Street Address | 1033 Enfield Street |
| City | Enfield |
| State | CT |
| Zip Code | 06082 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | Enfield |
| Zip Code | 06082 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Enfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carl Ramsay | 530 E.85th St, New York, NY 10028 | Physician/surgeon | ~ |
| Carl W Carlson | P.o. Box 513, Bristol, NH 03222 | Physician/surgeon | 1996-09-09 ~ 1997-09-30 |
| Carl Ira Schoenberger | 955 Mix Ave Apt 1j, Hamden, CT 06514-5126 | Physician/surgeon | 1977-07-01 ~ 1982-09-30 |
| Carl C Chi | 22 Goodrich Ln, Portland, CT 06480-1063 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Carl W Lindquist | P.o. Box 23, Chaplin, CT 06235-0023 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Carl J Schiano | 59 Rubber Ave., Naugatuck, CT 06770 | Physician/surgeon | 2011-05-01 ~ 2012-02-21 |
| Carl C D'andrea Md | 10 Pilgrim's Way, Gaylordsville, CT 06755 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Carl F Hinz Jr | 11 Highwood Dr, Avon, CT 06001 | Physician/surgeon | 2005-04-25 ~ 2006-04-30 |
| Carl M Cassin | 301 Redstone Dr, Cheshire, CT 06410-1722 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Carl J Comuniello | 101 Middle Rd, Eastchester, NY 10709-3843 | Physician/surgeon | 2013-04-16 ~ 2014-04-30 |
Please comment or provide details below to improve the information on CARL W JOHNSON.
| 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).