Medical Practice Licenses in Alaska

License number
Alaska MEDS454
Address
PO Box 8678, Ketchikan, AK 99901
Category
Medical
Issued Date
May 22, 1963
Effective Date
Dec 21, 1994
Expiration Date
Dec 31, 1996
License number
Alaska MEDS2574
Address
3123 Melwood Cir, Nacogdoches, TX 75964
Category
Medical
Issued Date
Aug 28, 1990
Effective Date
Dec 15, 1998
Expiration Date
Dec 31, 2000
License number
Alaska MEDS548
Address
4 Old Harding Rd, Franklin, TN 37064
Category
Medical
Issued Date
May 21, 1966
Effective Date
Dec 2, 1988
Expiration Date
Dec 31, 1990
License number
Alaska MEDS743
Address
18065 Trl End Dr, Juneau, AK 99801
Category
Medical
Issued Date
Aug 23, 1968
Effective Date
Nov 21, 1992
License number
Alaska MEDS1113
Address
WEST Highland Dr, Seattle, WA 98119
Category
Medical
Issued Date
Jan 21, 1973
Effective Date
Nov 22, 1988
Expiration Date
Dec 31, 1990
License number
Alaska MEDS1709
Address
200 Publix Sq (7-3801-7), Cleveland, OH 44114
Category
Medical
Issued Date
Nov 20, 1980
Effective Date
Dec 2, 1988
Expiration Date
Dec 31, 1990
License number
Alaska 106091
Address
1400 25Th Ave E, Seattle, WA 98112
Category
Medical
Issued Date
Feb 29, 2016
Effective Date
May 11, 2016
Expiration Date
Dec 31, 2016
License number
Alaska MEDS6535
Address
PO Box 3329, Hailey, ID 83333
Category
Medical
Issued Date
Jan 30, 2009
Expiration Date
Dec 31, 2016
License number
Alaska 115185
Address
9135 SW Barnes Rd SUITE 461, Portland, OR 97225
Category
Medical
Issued Date
Oct 21, 2016
Effective Date
Oct 21, 2016
Expiration Date
Apr 21, 2017
License number
Alaska MEDS1786
Address
1818 Rezanof Dr E, Kodiak, AK 99615
Category
Medical
Issued Date
Aug 14, 1981
Effective Date
Nov 1, 2014
Expiration Date
Dec 31, 2016
License number
Alaska MEDS7542
Address
9593 Enclave Dr, Rancho Cucamonga, CA 91737
Category
Medical
Issued Date
Nov 5, 2012
Expiration Date
Dec 31, 2016
License number
Alaska 107228
Address
3306 E Yesler Way APT A, Seattle, WA 98122
Category
Medical
Issued Date
Mar 23, 2016
Effective Date
Jun 25, 2016
Expiration Date
Sep 25, 2016
License number
Alaska MEDR1754
Address
13410 32Nd Ave N, Minneapolis, MN 55441
Category
Medical
Issued Date
May 27, 2001
Effective Date
May 27, 2001
License number
Alaska MEDM771
Address
101 W Swanson Ave W SWANSON, Wasilla, AK 99654
Category
Medical
Issued Date
Jan 28, 2010
Effective Date
Dec 1, 2014
Expiration Date
Dec 31, 2016
License number
Alaska MEDS2147
Address
1642 E Helen St, Tucson, AZ 85719
Category
Medical
Issued Date
Jan 8, 1986
Effective Date
Jan 12, 1989
Expiration Date
Dec 31, 1990
License number
Alaska MEDO5246
Address
337 E Russell Rd, Munger, MI 48747
Category
Medical
Issued Date
Jan 21, 2004
Effective Date
Nov 16, 2004
Expiration Date
Dec 31, 2006
License number
Alaska MEDM393
Address
2307 Roosevelt Dr, Anchorage, AK 99517
Category
Medical
Issued Date
Nov 3, 2000
Effective Date
Dec 29, 2014
Expiration Date
Dec 31, 2016
License number
Alaska MEDS7495
Address
5145 N 71St Pl, Scottsdale, AZ 85253
Category
Medical
Issued Date
Aug 2, 2012
Expiration Date
Dec 31, 2016
License number
Alaska MEDS5232
Address
289 N Fireweed Ste C Central Peninsula Pain Mgmt N. FIREWEED STE C CENTRAL PENINSULA PAIN MGMT, Soldotna, AK 99669
Category
Medical
Issued Date
Nov 24, 2003
Expiration Date
Dec 31, 2016
License number
Alaska 101243
Address
2123 Mitscher Ln, San Diego, CA 92106
Category
Medical
Issued Date
Oct 9, 2015
Effective Date
Nov 12, 2015
Expiration Date
Dec 31, 2016