JOHN ISAAC MD (Credential# 564528) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 2, 2008. The license expiration date date is September 30, 2009. The license status is INACTIVE.
JOHN ISAAC MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046946. The credential type is physician/surgeon. The effective date is September 2, 2008. The expiration date is September 30, 2009. The business address is 11536 Mabrypark Pl, Johns Creek, GA 30022-4582. The current status is inactive.
Licensee Name | JOHN ISAAC MD |
Credential ID | 564528 |
Credential Number | 1.046946 |
Credential Type | Physician/Surgeon |
Business Address |
11536 Mabrypark Pl Johns Creek GA 30022-4582 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2008-09-02 |
Effective Date | 2008-09-02 |
Expiration Date | 2009-09-30 |
Refresh Date | 2010-01-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
514901 | CSP.0044618 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-09-24 | 2008-09-24 - 2009-02-28 | INACTIVE |
Street Address | 11536 MABRYPARK PL |
City | JOHNS CREEK |
State | GA |
Zip Code | 30022-4582 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nitasha N Turner | 165 Shoreline Walk, Alpharetta, GA 30022 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
Terry L Herr | 3000 Royal Boulevard South, Alpharetta, GA 30022 | Architect | 2018-08-01 ~ 2019-07-31 |
Jp Northeast Inc | 135 Parkside Close, Alpharetta, GA 30022 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
Caitlin Bryn Mccarthy | 510 Clarinbridge Way, Alpharetta, GA 30022 | Certified Public Accountant Certificate | 2019-01-01 ~ 2019-12-31 |
Bernadette V Gay | 245 Lirac Ct, Alpharetta, GA 30022 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
Ashley Jordan Gaillard | 5050 Red Robin Ridge, Alpharetta, GA 30022 | Physical Therapist | 2019-03-14 ~ 2019-09-30 |
Tracy Allison Brown | 10900 Wittenridge Drive, Alpharetta, GA 30022 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
James N Ledyard | 375 Rosalie Court, Alpharetta, GA 30022 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Elizabeth Marie Dixon | 4025 Anson Ave., Alpharetta, GA 30022 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Barbara A Johnson | 4400 Pemberton Cove, Alpharetta, GA 30022 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Find all Licenses in zip 30022 |
City | JOHNS CREEK |
Zip Code | 30022 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + JOHNS CREEK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Isaac George | 177 Ft. Washing Ave., New York, NY 10032 | Physician/surgeon | ~ |
Isaac Azar | 60 E. 8th St #28k, New York, NY 10003-6527 | Physician/surgeon | 1997-05-02 ~ 1998-05-31 |
Isaac Goodrich | 84 Links Way, Oxford, CT 06478-3100 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Leon A Isaac | 1 Main St, Sharon, CT 06069-2018 | Physician/surgeon | 2015-05-01 ~ 2016-04-30 |
Isaac Horowitz | 230 Inwood Rd, Fairfield, CT 06432 | Physician/surgeon | 1993-12-02 ~ 1994-10-31 |
Isaac Troiano | 435 Lewis Ave, Meriden, CT 06451-2101 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Isaac O Osei | 403 Lakeshore Dr, Monroe, GA 30655-7709 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Isaac Alevi | 95 Reed Dr, Roslyn, NY 11576 | Physician/surgeon | 1995-03-06 ~ 1996-04-30 |
Isaac G Bampoe | 33 Reginald Drive, Congers, NY 10920 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Yvonne D Smith-isaac | 67 Farrington Ave., Waterbury, CT 06706 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
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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).