EVAN R FARMER (Credential# 564634) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2012. The license expiration date date is October 31, 2013. The license status is INACTIVE.
EVAN R FARMER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047052. The credential type is physician/surgeon. The effective date is November 1, 2012. The expiration date is October 31, 2013. The business address is 4242 Gum Point Lane, Gloucester, VA 23061. The current status is inactive.
Licensee Name | EVAN R FARMER |
Credential ID | 564634 |
Credential Number | 1.047052 |
Credential Type | Physician/Surgeon |
Business Address |
4242 Gum Point Lane Gloucester VA 23061 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2008-10-01 |
Effective Date | 2012-11-01 |
Expiration Date | 2013-10-31 |
Refresh Date | 2014-02-21 |
Street Address | 4242 Gum Point Lane |
City | Gloucester |
State | VA |
Zip Code | 23061 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tracey A Richie | 5825 My Way Lane, Gloucester, VA 23061 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Gregory J Czerwonka | 4351 Johns Point Road, Gloucester, VA 23061 | Professional Engineer | 2013-02-01 ~ 2014-01-31 |
Stephanie W Hanson | 7668 Forbes Rd, Gloucester, VA 23061 | Registered Nurse | 2007-02-28 ~ 2008-03-31 |
Melanie J Thomas · Anglin | 7535 Windy Hill Rd, Gloucester, VA 23061 | Hairdresser/cosmetician | ~ 1996-01-31 |
Veronica Acevedo | 10100 Ryans Way, Gloucester, VA 23061-2662 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
Todd A Strong | 7472 Wagon Run Rd, Gloucester, VA 23061-2868 | Heating, Piping & Cooling Unlimited Journeyperson | 2009-09-01 ~ 2010-08-31 |
Jessica Chamberlain | 6779 Ark Rd, Gloucester, VA 23061-3390 | Registered Nurse | 2019-09-10 ~ 2020-08-31 |
Sarah N Bonvini | 5349 Old Dogwood Ln, Gloucester, VA 23061-3600 | Licensed Practical Nurse | 2012-04-01 ~ 2013-03-31 |
Amanda Renee Cunningham | 5324 Marlborough Dr, Gloucester, VA 23061-3734 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Nathaniel B Ingles | 7021 Belroi Rd, Gloucester, VA 23061-3825 | Heating, Piping & Cooling Limited Journeyperson | 2007-04-10 ~ 2007-08-31 |
Find all Licenses in zip 23061 |
City | Gloucester |
Zip Code | 23061 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Gloucester |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William D Farmer | 2447 Whitney Ave, Hamden, CT 06518-3211 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Evan M Ginsberg | Po Box 530, Winhall, VT 05340-0530 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Evan Wasserman Md | 34 Maple St, Norwalk, CT 06850-3815 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Evan Kurz | 59 Rymph Rd, Lagrangeville, NY 12540 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Evan M Benjamin | Ihs Hospital, Zuni, NM 87327 | Physician/surgeon | 1994-03-31 ~ 1995-03-31 |
Evan P Cohen | 215 E 24th St Apt 110, New York, NY 10010-3808 | Physician/surgeon | 2011-07-27 ~ 2012-07-31 |
Evan Fox | 300 Hebron Avenue, Glastonbury, CT 06033 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Evan L Stepp Md | 145 N Lake Dr, Stamford, CT 06903-1009 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
Evan J Tilley Md | 52 Newton St, Fairfield, CT 06824-6926 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
Joseph M Pruner | 111 Evan Rd, Southington, CT 06489-4107 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on EVAN R FARMER.
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).