THERON C MOCK JR
Physician/surgeon


Address: 15 Charles Street, Machias, ME 04654

THERON C MOCK JR (Credential# 558565) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.

Business Overview

THERON C MOCK JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040982. The credential type is physician/surgeon. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 15 Charles Street, Machias, ME 04654. The current status is inactive.

Basic Information

Licensee Name THERON C MOCK JR
Credential ID 558565
Credential Number 1.040982
Credential Type Physician/Surgeon
Business Address 15 Charles Street
Machias
ME 04654
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-11-27
Effective Date 2014-07-01
Expiration Date 2015-06-30
Refresh Date 2015-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
332600 CSP.0033172 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-05-17 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 15 Charles Street
City Machias
State ME
Zip Code 04654

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Russell Troy Francis 107 Water St, Machias, ME 04654 Casino Class I Employee 2019-12-03 ~ 2020-10-31
Helen B Andrews Box 299 Rr1, Machias, ME 04654 Hairdresser/cosmetician 1991-12-20 ~ 1992-12-31
Janet B Brown Hcr 71 Box 138, Machias, ME 04654 Licensed Practical Nurse 1993-11-10 ~ 1994-07-31
Dale I Munn 167 Smith Landing Road, Northfield, ME 04654 Licensed Practical Nurse 2007-04-02 ~ 2008-04-30
Pauline M Roesch 31 Water Street, Machias, ME 04654 Licensed Practical Nurse 2004-04-08 ~ 2005-05-31
Randy M Morin 193 Johnson Cove Rd, Roque Bluffs, ME 04654-3116 Heating, Piping & Cooling Limited Journeyperson ~
Howard A Grayson 11 Hospital Dr, Machias, ME 04654-3325 Physician/surgeon 2020-02-01 ~ 2021-01-31

Competitor

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City Machias
Zip Code 04654
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Machias

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James W Mock Jr · Jim Mock & Associates Inc 137 Powers Ferry Rd, Marietta, GA 30067 Temporary Certified General Real Estate Appraiser 1996-07-26 ~ 1996-10-26
Theron James P.o. Box 1692, Middletown, CT 06457 Public Charity-exempt From Financial Requirements ~
Le Theron Cahors Connecticut Brand Registration, Hartford, CT 06106 Liquor Brand Label 2002-07-31 ~ 2005-07-30
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Mock's Pharmacy & Gifts Inc · Melinda H. Jones 711 Arkansas Road, West Monroe, LA 71291 Nonresident Pharmacy 2001-10-02 ~ 2002-08-31
Domaine Du Theron Cahors Connecticut Brand Registration, Hartford, CT 06106 Liquor Brand Label 2002-07-31 ~ 2005-07-30
Domaine Du Theron Cahors Malbec Red Wine Connecticut Brand Registration, Hartford, CT 06106 Liquor Brand Label 2018-02-01 ~ 2021-01-27
Update On Developments At The Tax Court and Mock Pretrial Settlement Conference · Ct Chapter of The Appraisal Institute 86 Highland Avenue, Torrington, CT 06790 Appraisal Continuing Education Course (aal) 2020-03-11 ~ 2023-03-11

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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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