JESSE J IRWIN (Credential# 1044923) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
JESSE J IRWIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051800. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101. The current status is inactive.
| Licensee Name | JESSE J IRWIN |
| Credential ID | 1044923 |
| Credential Number | CSP.0051800 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
12410 Milestone Center Dr Ste 225 Germantown MD 20876-7101 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-12-21 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1032407 | 1.050474 | Physician/Surgeon | 2011-12-09 | 2015-10-01 - 2016-09-30 | INACTIVE |
| Street Address | 12410 MILESTONE CENTER DR STE 225 |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20876-7101 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald W Augustin | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7103 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Derek S Wolfe | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James P Mcquiston | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael G Cetta Md | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Aaron M. Snyder Md | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Noah L Keller | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| James E. Detrick | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Physician Assistant | 2016-05-01 ~ 2017-04-30 |
| Lisa Hockman | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7103 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| David N Klein Md | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2015-06-19 ~ 2017-02-28 |
| Scot A Millay | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roger Dale Parker | 20501 Seneca Meadows Parkway, Germantown, MD 20876 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Angelo L Falcone Md | 12410 Milestone Ctre Dr, Germantown, MD 20876 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Ishrat Khatri | 12410 Milestone Center Drive, Germantown, MD 20876 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jamila Pennyman | 20408 Honey Crisp Lane, Germantown, MD 20876 | Registered Nurse | 2008-08-01 ~ 2009-06-30 |
| Wanda B Robinson | 21113 Kaul Lane, Germantown, MD 20876 | Registered Nurse | 1993-01-25 ~ 1994-03-31 |
| Benjamin M Holquist | 25 Observation Ct, Germantown, MD 20876 | Registered Nurse | 1997-04-23 ~ 1998-05-31 |
| Joanne S Boyce | 19804 Sovereign Ct, Germantown, MD 20876 | Dental Hygienist | 1995-01-03 ~ 1995-09-30 |
| Bennett V Boccuzzi | 11513 Scottsbury Ter, Germantown, MD 20876 | Registered Nurse | 2004-06-07 ~ 2005-07-31 |
| Kim-loan T Dinh | 11901 Isen Manor Drive, Germantown, MD 20876 | Hairdresser/cosmetician | 2004-07-19 ~ 2006-07-31 |
| Karen M Meade · King | 21113 Hickory Forest Way, Germantown, MD 20876 | Registered Nurse | 2004-09-27 ~ 2005-10-31 |
| Find all Licenses in zip 20876 | |||
| City | GERMANTOWN |
| Zip Code | 20876 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GERMANTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard L Irwin | 540 N. Woodstock Rd., Southbridge, MA 01550 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sheryl A Irwin | 540 N Woodstock Rd, Southbridge, MA 01550-2921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Irwin H Meslin | 290 Burrage Ct, Cheshire, CT 06410-3040 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Irwin August | 128 Five Fields Rd, Madison, CT 06443-2558 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Irwin M Weisbrot Md | 6 Starlight Dr, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Irwin Kove Dpm | 18 Coolidge Rd, W Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 1994-02-03 ~ 1995-12-01 |
| Irwin Silver Dds | 256 Bank St, Seymour, CT 06483 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Irwin D Feintzeig | 900 Madison Avenue, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Irwin Lebish | 41 Fairfield Avenue, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Irwin Nash Md | 7 Pine Ridge Road, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).