JONATHAN M. JOHNSON (Credential# 978841) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JONATHAN M. JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049653. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1622 Fordem Avenue, Madison, WI 53704. The current status is active.
| Licensee Name | JONATHAN M. JOHNSON |
| Credential ID | 978841 |
| Credential Number | 1.049653 |
| Credential Type | Physician/Surgeon |
| Business Address |
1622 Fordem Avenue Madison WI 53704 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-04-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| Street Address | 1622 FORDEM AVENUE |
| City | MADISON |
| State | WI |
| Zip Code | 53704 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chocolate Shoppe Ice Cream Co Inc | 2221 Daniels St, Madison, CT 53704 | Frozen Dessert Wholesaler | 1996-09-19 ~ 1996-12-31 |
| Deborah N Healy | 1808 Rutledge Street, Madison, WI 53704 | Registered Nurse | 2003-08-21 ~ 2004-10-31 |
| Sherri L Malinoki | 1018 N. Thompson Drive, Madison, WI 53704 | Massage Therapist | 2004-07-26 ~ 2006-07-31 |
| Pilgrims of Ibillin | 1541 Comanche Gln, Madison, WI 53704-1012 | Public Charity | 2017-12-01 ~ 2018-11-30 |
| Olds Garden Seed | 2901 Packers Ave, Madison, WI 53704-3047 | Seed Labeler | 2011-04-01 ~ 2012-03-31 |
| American College of Veterinary Pathologiests Inc | 2424 American Ln, Madison, WI 53704-3102 | Public Charity-exempt From Financial Requirements | 2017-12-20 ~ |
| Give Back Foundation | 2302 International Ln, Madison, WI 53704-3136 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Serrv International Inc | 2901 International Ln Ste 200, Madison, WI 53704-3177 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Community Support Network Inc | 1736 Roth St, Madison, WI 53704-4227 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Mending Medical Supplies LLC | 3111 E Washington Ave Ste 103, Madison, WI 53704-4330 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 53704 | |||
| City | MADISON |
| Zip Code | 53704 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan W Godsall | 5601 Johnson Drive, Edina, MN 55436 | Physician/surgeon | 1995-06-06 ~ 1996-06-30 |
| Jonathan Ek | 306 W Griggs #209, Urbana, IL 61801 | Physician/surgeon | ~ |
| Jonathan Edward Scott | CT | Physician/surgeon | ~ |
| Jonathan Y Ko | Po Box 180, Goshen, CT 06756-0180 | Physician/surgeon | 2009-06-09 ~ 2014-04-30 |
| Jonathan Goldstein | 513 Rio Grande Ave, Santa Fe, NM 87501-1311 | Physician/surgeon | ~ |
| Jonathan G Pope | 218 New Britain Ave, Unionville, CT 06032 | Physician/surgeon | 2004-05-24 ~ 2005-03-31 |
| Jonathan Mogen | 236 E 47th St Apt 24d, New York, NY 10017-2144 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Jonathan Covault | 36 Woodhaven Dr, Simsbury, CT 06070-2636 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jonathan R Zirn | 25 Tamarack Ave., Danbury, CT 06811 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Jonathan L Glashow | 737 Park Ave Apt 1a, New York, NY 10021-4264 | Physician/surgeon | 2002-11-22 ~ 2015-01-31 |
Please comment or provide details below to improve the information on JONATHAN M. JOHNSON.
| 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).