DWIGHT MIRMOW (Credential# 899450) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2016. The license expiration date date is January 31, 2017. The license status is INACTIVE.
DWIGHT MIRMOW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048434. The credential type is physician/surgeon. The effective date is February 1, 2016. The expiration date is January 31, 2017. The business address is 1435 Heard Ave, Augusta, GA 30904-4719. The current status is inactive.
| Licensee Name | DWIGHT MIRMOW |
| Credential ID | 899450 |
| Credential Number | 1.048434 |
| Credential Type | Physician/Surgeon |
| Business Address |
1435 Heard Ave Augusta GA 30904-4719 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-02-03 |
| Effective Date | 2016-02-01 |
| Expiration Date | 2017-01-31 |
| Refresh Date | 2017-05-06 |
| Street Address | 1435 HEARD AVE |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-4719 |
| 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 |
| Dominique C Harmon | 792 Eve Street, Augusta, GA 30904 | Licensed Clinical Social Worker | 2004-02-02 ~ 2005-02-28 |
| 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 |
| 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 | Physician/Surgeon |
| License Type + County | Physician/Surgeon + AUGUSTA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Max Chorowski | 175 Dwight Rd, Longmeadow, MA 01106 | Physician/surgeon | 2009-12-01 ~ 2010-11-30 |
| Dwight J Bernstein | 1 Ten Acre Rd, New Britain, CT 06052 | Physician/surgeon | 1994-10-31 ~ 1995-12-31 |
| Dwight M Rost | 586 Mountainview Dr, Waterbury, VT 05676-9204 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Jason R Yanofski | 260 Dwight St Apt F, New Haven, CT 06511-3253 | Physician/surgeon | 2009-05-01 ~ 2010-05-31 |
| Joseph E Yunis | 123 Dwight Rd, Longmeadow, MA 01106 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Andrew B Spackman Md | 115 Dwight St #5, New Haven, CT 06511 | Physician/surgeon | 2004-02-25 ~ 2005-03-31 |
| Vito D Imbasciani | 120 Dwight St., # 601, New Haven, CT 06511 | Physician/surgeon | 1987-07-01 ~ 1989-06-30 |
| Dwight Ligham Md | 1 Long Wharf Dr Ste 212, New Haven, CT 06511-5593 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Dwight F Miller Md | The Whitney Center #342, Hamden, CT 06517 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Sarah Germani | 123 Dwight Road, Longmeadow, MA 01106 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on DWIGHT MIRMOW.
| 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).