JON M FERGENSON (Credential# 555363) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
JON M FERGENSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037773. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 8011 Muirhead Cir, Boynton Beach, FL 33472-5018. The current status is active.
| Licensee Name | JON M FERGENSON |
| Credential ID | 555363 |
| Credential Number | 1.037773 |
| Credential Type | Physician/Surgeon |
| Business Address |
8011 Muirhead Cir Boynton Beach FL 33472-5018 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-05-21 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-08-09 |
| Street Address | 8011 MUIRHEAD CIR |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33472-5018 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thanh Trieu | 9427 Grand Prix Lane, Boynton Beach, FL 33472 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Archstone Associates LLC | 9102 Chrysanthemum Drive, Boynton Beach, FL 33472 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Avron C Cupid | 9995 Porta Leona Lane, Boynton Beach, FL 33472 | Registered Nurse | 2020-03-17 ~ 2020-09-30 |
| Ching Woon Yong | 9427 Grand Prix Ln, Boynton Beach, FL 33472 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Karen A Elliott | 5400 Courtney Circle, Boynton Beach, FL 33472 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Maryanne A Freeman | 5061 Mirror Lakes Blvd, Boynton Beach, FL 33472 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Anne J Rich | 8299 Marsala Way, Boynton Beach, FL 33472 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Zuzanna L Fedak | 5215 Rosen Blvd, Boynton Beach, FL 33472 | Registered Nurse | 2016-03-31 ~ 2016-10-31 |
| Maureen A Sales | 9223 Chianti Court, Boynton Beach, FL 33472 | Registered Nurse | 2015-08-01 ~ 2016-07-31 |
| Michael S Fruchter | 9418 Lago Drive, Boynton Beach, FL 33472 | Physician/surgeon | 2011-10-01 ~ 2012-09-30 |
| Find all Licenses in zip 33472 | |||
| City | BOYNTON BEACH |
| Zip Code | 33472 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BOYNTON BEACH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
Please comment or provide details below to improve the information on JON M FERGENSON.
| 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).