JOHN M CASEBOLT MD (Credential# 549895) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 16, 2003. The license expiration date date is October 31, 2004. The license status is INACTIVE.
JOHN M CASEBOLT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032278. The credential type is physician/surgeon. The effective date is September 16, 2003. The expiration date is October 31, 2004. The business address is 2846 South 162 Plaza, Omaha, NE 68130. The current status is inactive.
Licensee Name | JOHN M CASEBOLT MD |
Credential ID | 549895 |
Credential Number | 1.032278 |
Credential Type | Physician/Surgeon |
Business Address |
2846 South 162 Plaza Omaha NE 68130 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1992-05-22 |
Effective Date | 2003-09-16 |
Expiration Date | 2004-10-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
159525 | CSP.0020190 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-04-09 - 1999-02-28 | INACTIVE |
Street Address | 2846 SOUTH 162 PLAZA |
City | OMAHA |
State | NE |
Zip Code | 68130 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jason E Grennan | 17310 Wright Street, Omaha, NE 68130 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Northern Lights Fund Trust IIi | 17605 Wright Street, Omaha, NE 68130 | Investment Company - Open End | 2020-05-15 ~ 2020-12-31 |
Christopher T Koch Md | 16929 Frances St., Suite 204, Omaha, NE 68130 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Heidi J. Brammer | 17314 Poppleton Avenue, Omaha, NE 68130 | Certified Public Accountant Certificate | ~ |
Kristyn A Trapani-campbell | 2954 South 179 Ct, Omaha, NE 68130 | Occupational Therapist Assistant | 2007-08-27 ~ 2009-07-31 |
Julie A Luzarraga | 2023 S. 166 Street, Omaha, NE 68130 | Licensed Clinical Social Worker | 2006-02-24 ~ 2006-11-30 |
Jonathan A Jaksha Md | 17310 Wright Street, Omaha, NE 68130 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Mutual Fund Series Trust | 17605 Wright Street, Omaha, NE 68130 | Investment Company - Open End | 2020-03-03 ~ 2020-12-31 |
Northern Lights Fund Trust Iv | 17605 Wright Street, Omaha, NE 68130 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
Centerstone Investors Trust | 17605 Wright Street, Omaho, NE 68130 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
Find all Licenses in zip 68130 |
City | OMAHA |
Zip Code | 68130 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + OMAHA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
John S Kennedy | Psc 836 Box 56 | Physician/surgeon | 2002-03-19 ~ 2002-12-31 |
John C Radford | Po Box 248, Ellicottville, NY 14731-0248 | Physician/surgeon | ~ |
John S Lee | 99 Pigeon Rd, Willimantic, CT 06226-1320 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
John W Thompson | Rr1 Box 699, Kennebunkport, ME 04046 | Physician/surgeon | 1993-02-25 ~ 1993-10-31 |
John E Strobeck | 16 Normandy Ct, Ho Ho Kus, NJ 07423 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
John V Romano Md | Po Box 279, Canton, CT 06019-0279 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
John T Rigney | Po Box 252, Chappaqua, NY 10514 | Physician/surgeon | 1998-09-17 ~ 1999-09-30 |
John N Matheson | Po Box 127, Waverley Nsw, 2024 | Physician/surgeon | 1996-01-17 ~ 1996-12-31 |
John S Misa | 178 9th St E Ste 300, St. Paul, MN 55101 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
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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).