JACK R MUTH (Credential# 538857) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 12, 1997. The license expiration date date is October 31, 1998. The license status is INACTIVE.
JACK R MUTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.007345. The credential type is physician/surgeon. The effective date is August 12, 1997. The expiration date is October 31, 1998. The business address is 3271 Boralinlk Way, Palm City, FL 34990. The current status is inactive.
| Licensee Name | JACK R MUTH |
| Credential ID | 538857 |
| Credential Number | 1.007345 |
| Credential Type | Physician/Surgeon |
| Business Address |
3271 Boralinlk Way Palm City FL 34990 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1987-08-21 |
| Effective Date | 1997-08-12 |
| Expiration Date | 1998-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 3271 BORALINLK WAY |
| City | PALM CITY |
| State | FL |
| Zip Code | 34990 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra Ann Killian | 5090 Sw Blue Daze Way, Palm City, FL 34990 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Susan M Slater | 18 Sw Riverway Blvd, Palm City, FL 34990 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Cynthia H Geletka | 2178 Sw Balata Terr, Palm City, FL 34990 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Barbara A Hesemeyer | 2512 Sw Danbury Lane, Palm City, FL 34990 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Carol A Wentzel | 1634 Sw Seagull Way, Palm City, FL 34990 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Christine K. Bearse | 2467 Sw Brookwood Lane, Palm City, FL 34990 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Mary J Mcconnell | 1772 Sw Willowbend Lane, Palm City, FL 34990 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Lori Ann K. Lehn | 2236 Sw Waterview Place, Palm City, FL 34990 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Veronica Jones · Gordon | 10424 South West Fiddlers Way, Palm City, FL 34990 | Licensed Practical Nurse | 2018-06-01 ~ 2019-05-31 |
| Laura K Mitchell · Kiely | 4801 S.w. Parkgate Blvd, Palm City, FL 34990 | Registered Nurse | 2018-04-01 ~ 2019-03-31 |
| Find all Licenses in zip 34990 | |||
| City | PALM CITY |
| Zip Code | 34990 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PALM CITY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jack Liu | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jack Hajjar Md | 169 South Rd, Farmington, CT 06032 | Physician/surgeon | 2001-05-08 ~ 2002-06-30 |
| Jack W Snyder Md | 104 Hilary Cir, Fairfield, CT 06432 | Physician/surgeon | 2003-08-04 ~ 2004-07-31 |
| Jack J Forest Md | 111 Harbor Rd, Westport, CT 06880 | Physician/surgeon | 2006-05-23 ~ 2007-04-30 |
| Jack M Charney | Cblpath, Inc., Rye Brook, NY 10573 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jack F Perrone | 586 23rd Ave Sw, Rochester, MN 55902-0965 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Jack H Pincus | Pca Century, Tampa, FL 33607 | Physician/surgeon | 1993-04-23 ~ 1994-04-30 |
| Jack M Dodick | 535 Park Ave, New York, NY 10021 | Physician/surgeon | 2018-04-26 ~ 2019-03-31 |
| Jack Zweig | 145 Vaneck Dr., New Rochelle, NY 10804 | Physician/surgeon | 1967-09-18 ~ 1982-06-30 |
| Jack L Baldasar | 220 Oxford Dr, Tenafly, NJ 07670-3118 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
Please comment or provide details below to improve the information on JACK R MUTH.
| 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).