DOMINIQUE C HARMON (Credential# 783765) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is February 2, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
DOMINIQUE C HARMON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.005608. The credential type is licensed clinical social worker. The effective date is February 2, 2004. The expiration date is February 28, 2005. The business address is 792 Eve Street, Augusta, GA 30904. The current status is inactive.
| Licensee Name | DOMINIQUE C HARMON |
| Credential ID | 783765 |
| Credential Number | 58.005608 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
792 Eve Street Augusta GA 30904 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-02-02 |
| Effective Date | 2004-02-02 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-07-08 |
| Street Address | 792 Eve Street |
| City | Augusta |
| State | GA |
| Zip Code | 30904 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David L Booker | 2321 Kings Way, Augusta, GA 30904 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
| Change Gangs Virtural Giving Circles Inc · None | 1041 Via Real, Loveland, CO 30904 | Public Charity-exempt From Financial Requirements | 2015-11-20 ~ |
| Thomas J Kile Jr | 2220 Lee St, Augusta, GA 30904 | Pharmacist | 2011-02-01 ~ 2012-01-31 |
| Buffye Warthaw | 10823 Cooney Circle, Agusta, GA 30904 | Registered Nurse | 2006-12-13 ~ 2007-02-28 |
| Robert W Kogel Md | 2301 Laurel Ln, Augusta, GA 30904-3137 | Controlled Substance Registration for Practitioner | 2019-11-13 ~ 2021-02-28 |
| Dwight Mirmow | 1435 Heard Ave, Augusta, GA 30904-4719 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
| Sanjiv Prabhu | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Charles W Jones | 1910 Thomas Ln, Augusta, GA 30904-5114 | Architect | 2020-08-01 ~ 2021-07-31 |
| Robert Willson | 1521 Monte Sano Ave, Augusta, GA 30904-5399 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Family Planning Association of Maine Inc | 43 Gabriel Dr, Augusta, ME 04330-7852 | Public Charity | 2019-03-05 ~ 2020-05-31 |
| June Yowtak | 2095 Willhaven Dr, Augusta, GA 30909 | Resident Physician | 2017-07-07 ~ 2021-06-30 |
| Amd Medicom Inc | 4049 Allen Station Rd Ste A, Augusta, GA 30906-8734 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Augusta Medical Systems LLC | 1027 Broad St, Augusta, GA 30901-1142 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Kenny Susanto | 1120 15th St, Augusta, GA 30912 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Elizabeth B Eubanks | 2829 Lombardy Ct, Augusta, GA 30909-3901 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Yumeris De Jesus Baez | 2803 Ridgecrest Dr, Augusta, GA 30907-4821 | Registered Nurse | ~ |
| Carrie Lynn Wimer | 165 Queen Dr, Augusta, WV 26704-7643 | Registered Nurse - Temporary | 2020-04-30 ~ 2020-08-28 |
| Richard J Raskin | 15 Enterprise Dr, Augusta, ME 04330-7997 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Glenn A Calabrese | 2 Grant Ct, Augusta, NJ 07822-2158 | Asbestos Consultant-inspector | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in Augusta | |||
| City | Augusta |
| Zip Code | 30904 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + Augusta |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda A Harmon | 240 Sunnyridge Ave Apt 81, Fairfield, CT 06824-4649 | Licensed Clinical Social Worker | 2019-10-01 ~ 2020-09-30 |
| Deborah A Deegan | 44 Harmon St., Hamden, CT 06517-1818 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Erik A Toce | 34 Harmon Dr, Suffield, CT 06078-2038 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Dominique L Shabazz | 40 Court St, Windsor, CT 06095-2909 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Dominique G Decilla | 333 Atwood Ave, Waterbury, CT 06705 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Judith G Harmon | 132 Church Hill Rd, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2016-03-01 ~ 2017-02-28 |
| Angelina Harmon | 6513 Bendelow Dr, Lakeland, FL 33810-4817 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Donna M Lauria | 136 Harmon Street, Hamden, CT 06517 | Licensed Clinical Social Worker | 1997-05-01 ~ 1998-05-31 |
| Harmon L Freeman | 166 Ice House Rd Unit 34, Oakville, CT 06779-1570 | Licensed Clinical Social Worker | 2019-03-01 ~ 2020-02-29 |
| Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
Please comment or provide details below to improve the information on DOMINIQUE C HARMON.
| 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).