JF DONAL CONWAY (Credential# 558858) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.
JF DONAL CONWAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041275. The credential type is physician/surgeon. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is 15841 Jackson Trace Road, Coker, AL 35452. The current status is inactive.
Licensee Name | JF DONAL CONWAY |
Credential ID | 558858 |
Credential Number | 1.041275 |
Credential Type | Physician/Surgeon |
Business Address |
15841 Jackson Trace Road Coker AL 35452 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2003-03-28 |
Effective Date | 2018-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-06-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
336964 | CSP.0033330 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-04-15 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 15841 Jackson Trace Road |
City | Coker |
State | AL |
Zip Code | 35452 |
City | Coker |
Zip Code | 35452 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Coker |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Donal T O'hanlon Md | 263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2006-03-23 ~ 2007-04-30 |
Stephen R Conway | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Joseph Conway Jr | 2046 W. Main St. Ste 2, Stamford, CT 06902 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
David Conway | 137 Ardmore Rd, West Hartford, CT 06119-1203 | Physician/surgeon | ~ 1990-06-30 |
David A Stevenson | P.o. Box 1856, North Conway, NH 03860 | Physician/surgeon | 1996-04-29 ~ 1997-04-30 |
Fawn Michelle Langerman | 222 Grove St, North Conway, NH 03860-5309 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Michael M Conway | 67 Buena Vista Drive, North Kingstown, RI 02852 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Conway's Auto Repair · Thomas G Conway | 2405 Black Rock Tpke, Fairfield, CT 06825-3229 | Retail Gasoline Dealer | 2019-11-01 ~ 2020-10-31 |
Ellen A Andreano | 1729 East Conway Rd, Center Conway, NH 03813 | Registered Nurse | 2009-03-09 ~ 2010-04-30 |
Timothy Conway · Conway Painting | 72 Beechwood Dr, Madison, CT 06443-1849 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
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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).