JAMIL T ELFARRA (Credential# 1187677) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
JAMIL T ELFARRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056225. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 595 Hazelton Dr, Madison, MS 39110-7476. The current status is lapsed.
| Licensee Name | JAMIL T ELFARRA |
| Credential ID | 1187677 |
| Credential Number | CSP.0056225 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
595 Hazelton Dr Madison MS 39110-7476 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2013-10-02 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 932656 | CSP.0047659 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-05-28 | 2017-03-01 - 2019-02-28 | LAPSED |
| 1183129 | 1.052481 | Physician/Surgeon | 2013-10-01 | 2016-11-01 - 2017-10-31 | INACTIVE |
| Street Address | 595 HAZELTON DR |
| City | MADISON |
| State | MS |
| Zip Code | 39110-7476 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jolie Marie Breaux | 606 Honeysuckle Drive, Madison, MS 39110 | Registered Nurse | 2018-02-01 ~ 2019-02-28 |
| Kathy K Mcqueen | 429 Treles Dr, Madison, MS 39110 | Registered Nurse | 2001-05-16 ~ 2002-05-31 |
| Katherine A Robertson | 640 Live Oak Dr, Madison, MS 39110 | Registered Nurse | 2003-07-02 ~ 2004-08-31 |
| Thomas J Smith | 120 W Bradford Pl, Madison, MS 39110 | Dentist | 1993-06-24 ~ 1994-06-30 |
| Robbyn R Barber-anderson | 516 Ellerslie Lane, Madison, MS 39110 | Registered Nurse | 2002-05-15 ~ 2002-12-31 |
| Christi A Turnage | 3129 W. Tidewater Lane, Madison, MS 39110 | Registered Nurse | 2002-07-11 ~ 2003-02-28 |
| Ctex Pharmaceuticals Inc · Sheryl C Mann | 148 Weisenberger Rd Ste D, Madison, MS 39110 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2001-02-16 ~ 2001-06-30 |
| Andrx Laboratories Inc | 148 Weisenberger Rd Suite #d, Madison, MS 39110 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2003-07-01 ~ 2004-06-30 |
| Lynn Wyatt Pool · Excel Design Ltd | 513 Pawnee Way, Madison, MS 39110 | Architect | ~ |
| Wesley B Vanderlan | 222 Honours Dr, Madison, MS 39110-6514 | Physician/surgeon | 2014-05-09 ~ 2014-10-31 |
| Find all Licenses in zip 39110 | |||
| City | MADISON |
| Zip Code | 39110 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Imran A Jamil | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jamil Karsh | 32 Green Hill Rd, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 1993-11-18 ~ 1995-12-01 |
| James Jamil Yousif | 3563 Walnut Brook Dr, Rochester Hills, MI 48309-4066 | Controlled Substance Registration for Practitioner | 2019-10-18 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Please comment or provide details below to improve the information on JAMIL T ELFARRA.
| 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).