JEREMY S MILLER (Credential# 565419) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
JEREMY S MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047837. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 520 Marsh Park Dr, Duluth, GA 30097. The current status is active.
Licensee Name | JEREMY S MILLER |
Credential ID | 565419 |
Credential Number | 1.047837 |
Credential Type | Physician/Surgeon |
Business Address |
520 Marsh Park Dr Duluth GA 30097 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2009-06-22 |
Effective Date | 2019-11-01 |
Expiration Date | 2020-10-31 |
Refresh Date | 2019-10-11 |
Street Address | 520 Marsh Park Dr |
City | DULUTH |
State | GA |
Zip Code | 30097 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Travis Lavar Lastinger | 6290 Abbotts Bridge Road, Ste 401, Johns Creek, GA 30097 | Professional Engineer | 2020-04-21 ~ 2021-01-31 |
Georgette Grandison | 10950 Pennbrooke Xing, Johns Creek, GA 30097 | Registered Nurse | 2020-03-10 ~ 2020-09-30 |
Eldon E Heaton | 9355 Prestwick Club Dr, Duluth, GA 30097 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Alaric L Anderson | 2085 Woods River Ln, Duluth, GA 30097 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Charles Abraham | 180 Saint Amour Place, Johns Creek, GA 30097 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Hildegard I Hall | 4045 Balleycastle Ln, Duluth, GA 30097 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Deborah A Redling | 4350 Abbotts Pt Ct, Duluth, GA 30097 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Andrew R Lickwar | 4270 Gatewood Lane, Peachtree Corners, GA 30097 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Nihar S Shah | 6115 Abbotts Bridge Road Apt 310, Duluth, GA 30097 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Homer Alexander | 6050 Song Breeze Trace, Duluth, GA 30097 | Real Estate Broker | ~ 2016-03-31 |
Find all Licenses in zip 30097 |
City | DULUTH |
Zip Code | 30097 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + DULUTH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeremy J. Moeller | 39 Dawes Ave, Hamden, CT 06517 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Jeremy August | 333 W. Olmos, San Antonio, TX 78212 | Physician/surgeon | 2007-01-08 ~ 2007-05-15 |
Jeremy D Kaufman Md | 160 Hawley Ln, Trumbull, CT 06611-5300 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Jeremy S Breit | 16 Stream Ct, Farmington, CT 06032 | Physician/surgeon | 2005-11-28 ~ 2006-12-31 |
Jeremy Ditelberg | 114 Denise Ter, Fairfield, CT 06824-3406 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jeremy A. Spiegel | 14 Kelly Rd, Falmouth, ME 04105-2107 | Physician/surgeon | 2012-09-24 ~ 2013-08-31 |
Jeremy S Isaacson | 123 Old Mountain Rd, Farmington, CT 06032-1746 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
Paul R Bruch | 553 Jeremy Swamp Rd, Southbury, CT 06488 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
Jeremy Cotliar | 39 Country Ridge Rd, Scarsdale, NY 10583 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Jeremy E Moss | 4639 Main St, Bridgeport, CT 06606 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).