JERRY W VLASAK JR
Physician/surgeon


Address: 5699 Kanan Road, Agoura Hills, CA 91301

JERRY W VLASAK JR (Credential# 550319) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 11, 1999. The license expiration date date is May 31, 2000. The license status is INACTIVE.

Business Overview

JERRY W VLASAK JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032718. The credential type is physician/surgeon. The effective date is May 11, 1999. The expiration date is May 31, 2000. The business address is 5699 Kanan Road, Agoura Hills, CA 91301. The current status is inactive.

Basic Information

Licensee Name JERRY W VLASAK JR
Credential ID 550319
Credential Number 1.032718
Credential Type Physician/Surgeon
Business Address 5699 Kanan Road
Agoura Hills
CA 91301
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-12-04
Effective Date 1999-05-11
Expiration Date 2000-05-31
Refresh Date 2009-07-08

Other locations

Licensee Name Office Address Credential Effective / Expiration
Jerry W Vlasak Jr Waterbury Hospital, Waterbury, CT 06721 Controlled Substance Registration for Practitioner 1997-03-18 ~ 1998-02-28

Office Location

Street Address 5699 Kanan Road
City Agoura Hills
State CA
Zip Code 91301

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
James E Drews 29259 W Lake Vista Dr, Agoura, CA 91301 Architect 2019-08-01 ~ 2020-07-31
Tammy A Cohen 30601 Sandtrap Drive, Agoura Hills, CA 91301 Speech and Language Pathologist 2001-02-21 ~ 2002-04-30
Prescriptions By Mail Inc 5210 Lewis Rd Suite #5, Agoura Hills, CA 91301 Nonresident Pharmacy 2000-03-01 ~ 2000-08-31
Linda L Tatum 5364 Lewis Rd, Agoura Hills, CA 91301 Real Estate Salesperson ~
John E Ireland 5724 Willowtree Drive, Agoura Hills, CA 91301-1574 Professional Engineer 2020-02-01 ~ 2021-01-31
Open Medicine Foundation Inc 29302 Laro Dr, Agoura Hills, CA 91301-1608 Public Charity 2019-12-01 ~ 2020-11-30
Peter A Kraut 5346 Ambridge Dr, Calabasas, CA 91301-2304 Professional Engineer 2020-02-01 ~ 2021-01-31
Peter J Jensen 5015 Ambridge Dr, Agoura Hills, CA 91301-2333 Physician/surgeon 1980-01-16 ~ 1983-05-30
Nationwide Medical Inc 29903 Agoura Rd Ste 120, Agoura Hills, CA 91301-2513 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
Joni and Friends 30009 Ladyface Ct, Agoura Hills, CA 91301-2583 Public Charity 2019-12-02 ~ 2020-11-30
Find all Licenses in zip 91301

Competitor

Search similar business entities

City Agoura Hills
Zip Code 91301
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Agoura Hills

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Jerry Harwood Md 51 Forest Ave No. 105, Old Greenwich, CT 06870 Physician/surgeon 1998-06-29 ~ 1999-06-30
Jerry L Greenburg 456 Water St, Celebration, FL 34747-4977 Physician/surgeon 2020-04-01 ~ 2021-03-31
Jerry J Jaboin Md 24 Ladue Mnr, Saint Louis, MO 63124-1821 Physician/surgeon 2012-08-01 ~ 2013-07-31
Jerry J Thomas 1065 Us Highway 22 Ste 3d, Bridgewater, NJ 08807-2949 Physician/surgeon 2010-08-01 ~ 2011-07-31
Jerry D Ballard 165 Jeffrey Lane, Springfield, MA 01089 Physician/surgeon 1995-06-12 ~ 1996-07-31
Jerry Sheen 510-3d Auten Road, Hillsborough, NJ 08844 Physician/surgeon 2004-12-13 ~ 2005-03-31
Jerry Goldfarb Md 30 Brodwood Drive, Stamford, CT 06902 Physician/surgeon 1999-08-26 ~ 2000-08-31
Maria L Webster 6112 Jerry's Drive, Columbia, MD 21044 Physician/surgeon 2003-11-17 ~ 2004-11-30
Ann-jerry Peters 4996 Taylor Way, El Dorado Hills, CA 95762-7531 Physician/surgeon 2011-09-01 ~ 2012-08-31
H Paul Winalski Md 186 Jerry Browne Road, Mystic, CT 06355 Physician/surgeon 2010-04-01 ~ 2011-03-31

Improve Information

Please comment or provide details below to improve the information on JERRY W VLASAK JR.

Dataset Information

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).

Trending Searches