MARY S JENSEN (Credential# 551281) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 29, 1996. The license expiration date date is June 30, 1997. The license status is INACTIVE.
MARY S JENSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033682. The credential type is physician/surgeon. The effective date is April 29, 1996. The expiration date is June 30, 1997. The business address is 16715 23rd Ave Se, Bothell, WA 98012. The current status is inactive.
| Licensee Name | MARY S JENSEN |
| Credential ID | 551281 |
| Credential Number | 1.033682 |
| Credential Type | Physician/Surgeon |
| Business Address |
16715 23rd Ave Se Bothell WA 98012 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-05-06 |
| Effective Date | 1996-04-29 |
| Expiration Date | 1997-06-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 16715 23RD AVE SE |
| City | BOTHELL |
| State | WA |
| Zip Code | 98012 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Virginia A Desiena | 13921 26th Ave Se, Mill Creek, WA 98012 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Therapeutic Resources Inc | 16000 Brothell-everett Hwy Ste 175, Bothell, WA 98012 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-07-01 ~ 2019-06-30 |
| Divya Rashmi Negi | 17322 39th Dr Se Bothell,98012, Bothell, WA 98012 | Physical Therapist | 2019-11-04 ~ 2020-04-30 |
| Roxanne Bliss | 15800 Village Green Dr. Unit 26, Mill Creek, WA 98012 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Eben Hollis Phillips | 14100 26th Ct Se, Mill Creek, WA 98012 | Engineer-in-training | 2000-01-11 ~ 2010-01-11 |
| Susan L Wilson | 15426 30th Drive Se, Mill Creek, WA 98012 | Registered Nurse | 1997-09-16 ~ 1998-10-31 |
| Susan E Burns | 18732 34th Ave., Se, Bothell, WA 98012 | Registered Nurse | 1980-09-15 ~ 1982-07-31 |
| Sandy P Cho | 3221 162nd Place Se, Mill Creek, WA 98012 | Optometrist | 2000-08-23 ~ 2001-06-30 |
| Grace A Cote | 15520 Mill Creek Blv, Mill Creek, WA 98012 | Hairdresser/cosmetician | 1997-04-25 ~ 1998-05-31 |
| Susan E Fallon | 16711 22nd Avenue Se, Bothwell, WA 98012 | Registered Nurse | 1995-07-10 ~ 1996-08-31 |
| Find all Licenses in zip 98012 | |||
| City | BOTHELL |
| Zip Code | 98012 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BOTHELL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip B Jensen | Po Box 606, Lincoln, MA 01773-0606 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jonathan Jensen | 101 Morris St., Albany, NY 12208 | Physician/surgeon | 1988-05-27 ~ 1992-05-31 |
| Gordon D Jensen | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ 1954-01-31 |
| G O Jensen | 116 Belridge Road, Bristol, CT 06010 | Physician/surgeon | 2007-02-05 ~ 2008-02-29 |
| Caroline Jensen | 11319 N Via Milano Way, Fresno, CA 93730 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| James Jensen M.d. | 3114 Nw Spencer St, Portland, OR 97229 | Physician/surgeon | 2004-03-15 ~ 2005-04-30 |
| Daniel J Del Rowe | Po Box 2028, Jensen Beach, FL 34958-2028 | Physician/surgeon | 2013-06-01 ~ 2014-05-31 |
| Judd M. Jensen | 4 Glen Cove Dr Ste 102, Rockport, ME 04856-4236 | Physician/surgeon | ~ 1986-06-30 |
| Peter J Jensen | 5015 Ambridge Dr, Agoura Hills, CA 91301-2333 | Physician/surgeon | 1980-01-16 ~ 1983-05-30 |
| Jerri Lynne Jensen | 78 Wardwell Point Road, Penobscot, ME 04476 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on MARY S JENSEN.
| 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).