ADA S JEMISON-BULLOCK
Physician/surgeon


Address: 18410 Kingstown Ct, Houston, TX 77058-4210

ADA S JEMISON-BULLOCK (Credential# 557821) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 17, 2018. The license expiration date date is July 31, 2018. The license status is INACTIVE.

Business Overview

ADA S JEMISON-BULLOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040238. The credential type is physician/surgeon. The effective date is January 17, 2018. The expiration date is July 31, 2018. The business address is 18410 Kingstown Ct, Houston, TX 77058-4210. The current status is inactive.

Basic Information

Licensee Name ADA S JEMISON-BULLOCK
Credential ID 557821
Credential Number 1.040238
Credential Type Physician/Surgeon
Business Address 18410 Kingstown Ct
Houston
TX 77058-4210
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-03-13
Effective Date 2018-01-17
Expiration Date 2018-07-31
Refresh Date 2018-11-03

Other licenses

ID Credential Code Credential Type Issue Term Status
324873 CSP.0032855 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 18410 KINGSTOWN CT
City HOUSTON
State TX
Zip Code 77058-4210

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Renee G Therese Gauldin 2400 Yorktown St, Houston, TX 77056 Registered Nurse ~
Charles D Cadenhead 3711 University Blvd, Houston, TX 77005 Architect 2020-08-01 ~ 2021-07-31
Mary Ann Laurita 2004a W 14th St Unit A, Houston, TX 77008-3570 Real Estate Broker 2020-06-18 ~ 2021-03-31
Wartsila North America Inc 11710 N Gessner Rd Ste A, Houston, TX 77064-1325 Major Contractor 2020-07-01 ~ 2021-06-30
Joel S Colwell 1001 Fannin St, Suite 4040, Houston, TX 77002 Architect 2020-08-01 ~ 2021-07-31
Mabel Osamor 2828 Hayes Rd, Houston, TX 77082-6633 Registered Nurse 2020-06-22 ~ 2021-02-28
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Competitor

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City HOUSTON
Zip Code 77058
License Type Physician/Surgeon
License Type + County Physician/Surgeon + HOUSTON

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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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