JOHNNY TAM
Physician Assistant


Address: 189-09 48th Avenue, Fresh Meadows, NY 11365

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.

Business Overview

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.

Basic Information

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

Office Location

Street Address 189-09 48th Avenue
City Fresh Meadows
State NY
Zip Code 11365

Licenses in the same zip code

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

Competitor

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City Fresh Meadows
Zip Code 11365
License Type Physician Assistant
License Type + County Physician Assistant + Fresh Meadows

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Dataset Information

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).

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