JOHNNY TAM (Credential# 743353) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 18, 2008. The license expiration date date is September 30, 2009. The license status is INACTIVE.
JOHNNY TAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001604. The credential type is physician assistant. The effective date is December 18, 2008. The expiration date is September 30, 2009. The business address is 189-09 48th Avenue, Fresh Meadows, NY 11365. The current status is inactive.
Licensee Name | JOHNNY TAM |
Credential ID | 743353 |
Credential Number | 23.001604 |
Credential Type | Physician Assistant |
Business Address |
189-09 48th Avenue Fresh Meadows NY 11365 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2005-03-07 |
Effective Date | 2008-12-18 |
Expiration Date | 2009-09-30 |
Refresh Date | 2010-01-08 |
Street Address | 189-09 48th Avenue |
City | Fresh Meadows |
State | NY |
Zip Code | 11365 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Meiqin Wang | 19611 56th, Fresh Meadows, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Won Kyung Kim | 189-02 64 Ave 4a, Fresh Meadows, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Mi Ja Chung | 50-23 Weeks Lane, Fresh Meadows, NY 11365 | Nail Technician | ~ |
Jae Min Seong | 69-01a 186th Lane, Fresh Meadows, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Hai Lan Xu | 6700 192nd St 1802, Fresh Meadows, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Young Sook Kang | 19780g Peck Ave, Fresh Meadows, NY 11365 | Nail Technician | ~ |
Han Jong Lee | 56-03b Utopia Pkwy, Fresh Meadows, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Hye J Lee | 67-00 192st Apt 2111, Fresh Meadows, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Qin Zhang | 71-66 Parsons Blvd 4f, Fresh Meadows, NY 11365 | Esthetician | ~ |
Zilong Wang | 59-35 160th St, Flushing, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 11365 |
City | Fresh Meadows |
Zip Code | 11365 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Fresh Meadows |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Johnny's Oil Co · Johnny's Heating & A/c Inc | 60 Richardson Hill Rd, Norwich, CT 06360 | Home Heating Fuel Dealer | 2001-10-01 ~ 2002-09-30 |
Johnny Jackson | 31 Rochford Ave., Hamden, CT 06514 | Family Child Care Assistant | 1999-06-30 ~ 1999-06-30 |
Johnny Flores | 1167 Park Ave Fl 1, Bridgeport, CT 06604-3411 | Family Child Care Assistant | 2013-10-17 ~ 2015-10-31 |
Johnny A Monge · Johnny Monge Painting | 24 Woodbury Ave, Norwalk, CT 06850 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
Johnny Boykin · Johnny Boykin Hm Imprvmnt | 45 Seventh St, Newington, CT 06111 | Home Improvement Contractor | ~ 1995-07-01 |
Johnny B's | 1457 Meriden Rd, Wolcott, CT 06716 | Bakery | 2000-08-04 ~ 2001-06-30 |
Johnny L Jones IIi · Johnny's Heating & A/c Inc | 60 Richardson Hill Rd, Griswold, CT 06351 | Limited Sheet Metal Contractor | 2002-09-01 ~ 2003-08-31 |
Johnny Bee's | 20 Main St, Moosup, CT 06354 | Bakery | 2002-01-14 ~ 2002-06-30 |
Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Johnny A Chang Md | 538 Litchfield St Ste 102, Torrington, CT 06790 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).