JONATHAN A JAKSHA MD (Credential# 561017) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JONATHAN A JAKSHA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043435. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 17310 Wright Street, Omaha, NE 68130. The current status is active.
| Licensee Name | JONATHAN A JAKSHA MD |
| Credential ID | 561017 |
| Credential Number | 1.043435 |
| Credential Type | Physician/Surgeon |
| Business Address |
17310 Wright Street Omaha NE 68130 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-05-20 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 411132 | CSP.0037827 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-07-21 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 17310 WRIGHT STREET |
| City | Omaha |
| State | NE |
| Zip Code | 68130 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason E Grennan | 17310 Wright Street, Omaha, NE 68130 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Tyler Michelle Neitlich | 17310 Wright Street, Omaha, NE 68130 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Northern Lights Fund Trust IIi | 17605 Wright Street, Omaha, NE 68130 | Investment Company - Open End | 2020-05-15 ~ 2020-12-31 |
| Christopher T Koch Md | 16929 Frances St., Suite 204, Omaha, NE 68130 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Heidi J. Brammer | 17314 Poppleton Avenue, Omaha, NE 68130 | Certified Public Accountant Certificate | ~ |
| Kristyn A Trapani-campbell | 2954 South 179 Ct, Omaha, NE 68130 | Occupational Therapist Assistant | 2007-08-27 ~ 2009-07-31 |
| John M Casebolt Md | 2846 South 162 Plaza, Omaha, NE 68130 | Physician/surgeon | 2003-09-16 ~ 2004-10-31 |
| Julie A Luzarraga | 2023 S. 166 Street, Omaha, NE 68130 | Licensed Clinical Social Worker | 2006-02-24 ~ 2006-11-30 |
| Mutual Fund Series Trust | 17605 Wright Street, Omaha, NE 68130 | Investment Company - Open End | 2020-03-03 ~ 2020-12-31 |
| Northern Lights Fund Trust Iv | 17605 Wright Street, Omaha, NE 68130 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
| Centerstone Investors Trust | 17605 Wright Street, Omaho, NE 68130 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
| Leader Funds Trust | 17605 Wright Street, Omaha, NE 68130 | Investment Company - Open End | 2019-07-15 ~ 2019-12-31 |
| Find all Licenses in zip 68130 | |||
| City | Omaha |
| Zip Code | 68130 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Omaha |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan Ek | 306 W Griggs #209, Urbana, IL 61801 | Physician/surgeon | ~ |
| Jonathan Edward Scott | CT | Physician/surgeon | ~ |
| Jonathan Y Ko | Po Box 180, Goshen, CT 06756-0180 | Physician/surgeon | 2009-06-09 ~ 2014-04-30 |
| Jonathan Goldstein | 513 Rio Grande Ave, Santa Fe, NM 87501-1311 | Physician/surgeon | ~ |
| Jonathan Harding | 705 Mt. Auburn St., Watertown, MA 02472 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jonathan Matthew Vigdorchik | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
| Jonathan B Williamson | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jonathan D Gates | 3 Olcott Way, Farmington, CT 06032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jonathan Harwin Md | 1 Harbor St, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jonathan David Larson | 577 2nd St, San Francisco, CA 94107-1470 | Physician/surgeon | 2020-04-27 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JONATHAN A JAKSHA MD.
| 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).