JILL C CROSBY (Credential# 1332342) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2017. The license expiration date date is November 30, 2018. The license status is INACTIVE.
JILL C CROSBY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055182. The credential type is physician/surgeon. The effective date is December 1, 2017. The expiration date is November 30, 2018. The business address is 1050 State Street, New Haven, CT 06511. The current status is inactive.
| Licensee Name | JILL C CROSBY |
| Credential ID | 1332342 |
| Credential Number | 1.055182 |
| Credential Type | Physician/Surgeon |
| Business Address |
1050 State Street New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-04-22 |
| Effective Date | 2017-12-01 |
| Expiration Date | 2018-11-30 |
| Refresh Date | 2019-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1350891 | CSP.0062544 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-04-30 | 2017-03-01 - 2018-07-19 | INACTIVE |
| Street Address | 1050 STATE STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maranda Diane Hyde | 1050 State Street, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timil H Patel | 1050 State Street, New Haven, CT 06511 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Akuba Cudjoe | 1050 State Street, New Haven, CT 06511 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Nicole Bonnell | 1050 State Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Pawlowski | 1050 State Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rosemarie Southard | 1050 State Street, New Haven, CT 06511-2775 | Emergency Medical Technician | ~ |
| Rosemarie Nmn Southard | 1050 State Street, New Haven, CT 06511 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mabel T Crosby | 253 Towner Ave, Jamestown, NY 14701 | Physician/surgeon | 1995-12-11 ~ 1996-09-30 |
| Christopher L Elder | 21702 Sunset View Dr, Crosby, TX 77532-3392 | Physician/surgeon | ~ |
| Richard R Rattotti | 1620 Crosby Avenue, Bronx, NY 10461 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Jill D. Teplensky | P.o. Box 371, Lexington, MA 02420 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jill B Ostrager | 24 Taymil Rd, New Rochelle, NY 10804-2802 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jill A Morganstern | 21 Governors Ln, Princeton, NJ 08540-3668 | Physician/surgeon | 2010-02-03 ~ 2010-06-30 |
| Avraham Z Isseroff Md | 39 Jill Ln, Cheshire, CT 06410-3402 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Jill D Veber | Po Box 3439, Jackson, WY 83001-3439 | Physician/surgeon | ~ 1988-07-31 |
| Jill M Winslow Md | 125 Shaw St, New London, CT 06320 | Physician/surgeon | 2008-03-24 ~ 2008-12-31 |
| Jill G Denowitz | 333 Post Rd W, Westport, CT 06880-4754 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).