MARK HOWARD JAFFE (Credential# 1134497) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is December 31, 1978. The license status is INACTIVE.
MARK HOWARD JAFFE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018623. The credential type is physician/surgeon. The expiration date is December 31, 1978. The business address is 1700 E 56th St Apt 3709, Chicago, IL 60637-5801. The current status is inactive.
| Licensee Name | MARK HOWARD JAFFE |
| Credential ID | 1134497 |
| Credential Number | 1.018623 |
| Credential Type | Physician/Surgeon |
| Business Address |
1700 E 56th St Apt 3709 Chicago IL 60637-5801 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1977-02-01 |
| Expiration Date | 1978-12-31 |
| Refresh Date | 2012-11-30 |
| Street Address | 1700 E 56TH ST APT 3709 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-5801 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline Moses Brown | 6223 S. Eberhart, Chicago, IL 60637 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Iazsmin Bauer Ventura | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | Physician/surgeon | 2018-10-10 ~ 2019-04-30 |
| Bernard Wittels Md | 5632 S. Kimbark Ave, Chicago, IL 60637 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Wendy B Posner | 5533 South Kimbark, Chicago, IL 60637 | Licensed Clinical Social Worker | 2004-04-19 ~ 2005-06-30 |
| Robert L Walton Jr | 5841 S Maryland Ave, Chicago, IL 60637 | Physician/surgeon | 1993-08-25 ~ 1994-05-31 |
| Sunny H Baek | Apt 303s, Chicago, IL 60637 | Pharmacist | 1995-08-25 ~ 1996-01-31 |
| University of Chicago Medical Center Dcam Outpatient Pharmacy | 5758 S Maryland Ave # Mc9041, Chicago, IL 60637-1426 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Coalition Application Inc · Coalition for Access, Affortability, and Success | 1101 E 58th St, Chicago, IL 60637-1511 | Public Charity | 2018-10-15 ~ 2019-05-31 |
| Sarah Margaret Urbut | 1157 E 56th St Apt 3, Chicago, IL 60637-1531 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
| Nora O Segar | 5825 S Dorchester Ave Apt 4w, Chicago, IL 60637-1701 | Controlled Substance Registration for Practitioner | 2020-04-13 ~ 2021-02-28 |
| Find all Licenses in zip 60637 | |||
| City | CHICAGO |
| Zip Code | 60637 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CHICAGO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Conrade C Jaffe | Conrade Card Jaffe, Charlestown, MA 02129 | Physician/surgeon | 2007-09-24 ~ 2008-11-30 |
| Mark Howard Tannenbaum | Opticare, P.C., Waterbury, CT 06708 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mark Howard Hittman | 160 Union St, Poughkeepsie, NY 12601-3014 | Physician/surgeon | 1983-07-19 ~ 1990-02-28 |
| Robert Jaffe | 103 E 86th St, New York, NY 10028 | Physician/surgeon | 2000-11-29 ~ 2002-01-31 |
| Daniel M Jaffe | Alcoa, Pittsburgh, PA 15219 | Physician/surgeon | 1995-12-26 ~ 1997-01-31 |
| Leonard Jaffe | 100 Hemlock Rd, Short Hills, NJ 07078 | Physician/surgeon | 2001-03-01 ~ 2002-04-30 |
| Norman D Jaffe | 73 Pershing Road, Jamaica Plains, MA 02130 | Physician/surgeon | 1992-02-24 ~ 1993-02-28 |
| Morton A Jaffe | 24281 Addison Place Court, Bonita Springs, FL 34134 | Physician/surgeon | 2006-07-18 ~ 2007-07-31 |
| Daniel Howard Wiznia | 850 Howard Avenue, New Haven, CT 06519 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Ira Jaffe | Kurcias, Jaffe & Company,llp, Westbury, NY 11590 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
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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).