MARCHANT W VAN GERPEN (Credential# 1280212) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 24, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
MARCHANT W VAN GERPEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059903. The credential type is controlled substance registration for practitioner. The effective date is April 24, 2015. The expiration date is February 28, 2017. The business address is 2967 Riverside Ave, Jacksonville, FL 32205-8128. The current status is inactive.
| Licensee Name | MARCHANT W VAN GERPEN |
| Credential ID | 1280212 |
| Credential Number | CSP.0059903 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2967 Riverside Ave Jacksonville FL 32205-8128 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2015-04-24 |
| Effective Date | 2015-04-24 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1259587 | 1.053948 | Physician/Surgeon | 2015-03-24 | 2015-03-24 - 2016-03-31 | INACTIVE |
| Street Address | 2967 RIVERSIDE AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32205-8128 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Latonya Mason | 3259 Gilmore Street, Jacksonville, FL 32205 | Registered Nurse - Temporary | 2020-06-18 ~ 2020-10-16 |
| Denise M Ramsey | 1221 Challen Ave, Jacksonville, FL 32205 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| John Norcia | 2896 Selma St., Jacksonville, FL 32205 | Repairer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| Mae Flager | 3753 Randall St, Jacksonville, FL 32205 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| John H Hubbard | 4738 Ramona Blvd, Jacksonville, FL 32205 | Lead Inspector | 2009-12-01 ~ 2010-11-30 |
| Dennis W Mesenhimer · Real Estate Referral Inc | 3429 Fitch St, Jacksonville, FL 32205 | Nursing Home Administrator | 2003-05-30 ~ 2004-05-31 |
| John N Chapman Md | 1421 Edgewood Circle, Jacksonville, FL 32205 | Physician/surgeon | ~ 1998-04-30 |
| Lesley C Morgan | 3676 Hedrick St, Jacksonville, FL 32205 | Registered Nurse | 2003-06-23 ~ 2004-03-31 |
| Tiana M Acevedo | 1171 Lane Avenue South, Apt. 402, Jacksonville, FL 32205 | Radiographer | 2006-09-05 ~ 2007-09-30 |
| Christopher J Konicki | 2896 Selma St., Jacksonville, FL 32205 | Repairer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 32205 | |||
| City | JACKSONVILLE |
| Zip Code | 32205 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + JACKSONVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henri Marchant Extra Dry | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2002-12-21 ~ 2005-12-20 |
| Henri Marchant Spumante | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2002-11-29 ~ 2005-11-28 |
| Henri Marchant Brut | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2002-11-29 ~ 2005-11-28 |
| Henri Marchant Brut Champagne | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2006-09-14 ~ 2009-09-10 |
| Henri Marchant Extra Dry Champagne | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2006-09-14 ~ 2009-09-10 |
| 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 |
| Robert Van Gerpen | 41 Gorton Ave, Old Lyme, CT 06371 | Electrical Unlimited Journeyperson | ~ |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| 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 |
Please comment or provide details below to improve the information on MARCHANT W VAN GERPEN.
| 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).