LA SCIENYA M JACKSON MD (Credential# 564325) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.
LA SCIENYA M JACKSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046743. The credential type is physician/surgeon. The effective date is February 1, 2015. The expiration date is January 31, 2016. The business address is 190 N Coventry Ave Apt 137, Clovis, CA 93611-6840. The current status is inactive.
| Licensee Name | LA SCIENYA M JACKSON MD |
| Credential ID | 564325 |
| Credential Number | 1.046743 |
| Credential Type | Physician/Surgeon |
| Business Address |
190 N Coventry Ave Apt 137 Clovis CA 93611-6840 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-07-01 |
| Effective Date | 2015-02-01 |
| Expiration Date | 2016-01-31 |
| Refresh Date | 2016-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 508468 | CSP.0043864 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-07-18 | 2008-07-18 - 2009-02-28 | INACTIVE |
| 374399 | CSP.0035229 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-07-15 | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 190 N COVENTRY AVE APT 137 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6840 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katelin A Sobieraj | 2589 Mitchell Ave, Clovis, CA 93611 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Bernard V Payongayong | 2665 Goshen Ave, Clovis, CA 93611 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Lori O. Hastings | 1785 N Caesar Ave, Clovis, CA 93611 | Pharmacist | 2010-02-01 ~ 2011-01-31 |
| Julie K Feldenberg | 6092 N. Sheridan, Clovis, CA 93611 | Registered Nurse | 2000-10-30 ~ 2001-09-30 |
| Links Players International Inc | 755 N Peach Ave Ste E11, Clovis, CA 93611-7258 | Public Charity | 2019-06-19 ~ 2020-11-30 |
| Joy Anne Q Payongayong | 2665 Goshen Ave, Clovis, CA 93611-8177 | Registered Nurse | 2014-04-01 ~ 2015-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stockbridge General Contracting Inc | 2972 Larkin Ave, Clovis, CA 93612-3986 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Nora Wuest | 1857 Cr 12, Clovis, NM 88101 | Registered Nurse | ~ |
| Esther Y Choi | 287w W Barstow Ave # 144b, Clovis, CA 93612-1640 | Massage Therapist | 2019-11-01 ~ 2021-10-31 |
| Bradley R Young | 345 Pollasky Ave, Clovis, CA 93612 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Sebastian C Morello | 1831 N Sanders Ave, Clovis, CA 93619 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Michelle Gray | 8421 Dakota St, Clovis, NM 88101 | Licensed Practical Nurse - Temporary | 2019-04-23 ~ 2019-08-21 |
| Tam T Doan | 3227 Lester Ave, Clovis, CA 93619-9504 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Riyadh Z Al-jammaly | 3300 Northglen Dr, Clovis, NM 88101-2938 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Frozfruit Corp | Cr K 790, Clovis, NM 88101 | Frozen Dessert Wholesaler | 2001-01-25 ~ 2001-12-31 |
| Ann M Sortor | 12151 N Armstrong, Clovis, CA 93619 | Registered Nurse | 2015-07-01 ~ 2016-06-30 |
| Find all Licenses in CLOVIS | |||
| City | CLOVIS |
| Zip Code | 93611 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CLOVIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melecio G Abordo Jr | Po Box 974, Jackson, KY 41339 | Physician/surgeon | 2001-07-30 ~ 2002-07-31 |
| Max G Jackson Jr | 77 Pringle Way, Reno, NV 89502 | Physician/surgeon | 1977-02-07 ~ 1984-06-30 |
| William M Griffin | Po Box 877, Jackson, CA 95642 | Physician/surgeon | 1999-04-13 ~ 2000-04-30 |
| Jill D Veber | Po Box 3439, Jackson, WY 83001-3439 | Physician/surgeon | ~ 1988-07-31 |
| William T Cronin | 1 Jackson Dr, Norwalk, CT 06851 | Physician/surgeon | 1998-05-13 ~ 1999-07-31 |
| James D. Bentley | 46 Jackson Dr, Cranford, NJ 07016-3504 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Carine R Klein | P.o.box 10100, Jackson, WY 83002 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Garland C Jackson Jr | 66 Woodfield Rd, Woodbridge, CT 06525 | Physician/surgeon | 2008-04-01 ~ 2009-03-31 |
| Stanley W Jackson | 72 Downs Rd, Bethany, CT 06524 | Physician/surgeon | 1993-10-25 ~ 1994-11-30 |
| Jeffrey T Tyler | 196 Jackson Ave, Stratford, CT 06497 | Physician/surgeon | 1981-11-02 ~ 1989-02-28 |
Please comment or provide details below to improve the information on LA SCIENYA M JACKSON 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).