JOHN R FRAZIER
Physician/surgeon


Address: 2108 Broadway Avenue, Roanoke, VA 24014

JOHN R FRAZIER (Credential# 556086) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 8, 2002. The license expiration date date is November 30, 2003. The license status is INACTIVE.

Business Overview

JOHN R FRAZIER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038496. The credential type is physician/surgeon. The effective date is November 8, 2002. The expiration date is November 30, 2003. The business address is 2108 Broadway Avenue, Roanoke, VA 24014. The current status is inactive.

Basic Information

Licensee Name JOHN R FRAZIER
Credential ID 556086
Credential Number 1.038496
Credential Type Physician/Surgeon
Business Address 2108 Broadway Avenue
Roanoke
VA 24014
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-03-16
Effective Date 2002-11-08
Expiration Date 2003-11-30
Refresh Date 2009-07-08

Office Location

Street Address 2108 Broadway Avenue
City Roanoke
State VA
Zip Code 24014

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Michelle L Smith 2130 Stephenson Ave., Roanoke, VA 24014 Hairdresser/cosmetician 2016-03-01 ~ 2018-02-28
Hayes Seay Mttrn&mttrn 3101 Stoneridge Rd Sw, Roanoke, VA 24014 Professional Engineer 1990-02-01 ~ 1991-01-31
Ann Hendrickson 3735 Franklin Road, Roanoke, VA 24014 Occupational Therapist ~ 1999-07-31
Jason W Morgan 3078 Woodway Rd, Roanoke, VA 24014 Heating, Piping & Cooling Limited Journeyperson 2006-10-04 ~ 2007-08-31
Michael Kaufman Md 4504 Starkey Road Ste 300, Roanoke, VA 24014 Controlled Substance Registration for Practitioner 2000-05-22 ~ 2001-02-28
Molly Winston Mack 2212 Richelieu Ave Sw Unit A, Roanoke, VA 24014-2426 Registered Nurse 2019-06-18 ~ 2020-06-30
Bonnie L Hennig Trestman 2330 Stanley Ave Se, Roanoke, VA 24014-2461 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Ayotunde Olusola Ayobello 709 Riverland Rd Se, Roanoke, VA 24014-2517 Resident Physician 2020-07-01 ~ 2021-06-30
Christine C Toevs 3835 Bosworth Dr Sw, Roanoke, VA 24014-3007 Controlled Substance Registration for Practitioner 2013-02-13 ~ 2013-02-28
Herbert C Berding Md 2814 S Jefferson St, Roanoke, VA 24014-3320 Controlled Substance Registration for Practitioner 2008-03-14 ~ 2009-02-28
Find all Licenses in zip 24014

Competitor

Search similar business entities

City Roanoke
Zip Code 24014
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Roanoke

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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).

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