VINITHA ANNE JACOB (Credential# 1360551) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
VINITHA ANNE JACOB is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063137. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 67 Chestnut St, Hicksville, NY 11801-3226. The current status is active.
| Licensee Name | VINITHA ANNE JACOB |
| Credential ID | 1360551 |
| Credential Number | CSP.0063137 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
67 Chestnut St Hicksville NY 11801-3226 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1491773 | 1.059508-RES | Resident Physician | 2017-07-01 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 67 CHESTNUT ST |
| City | HICKSVILLE |
| State | NY |
| Zip Code | 11801-3226 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sonia Singh | 13 Elm Street, Hicksville, NY 11801 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Tony A Kadukummackal | 75 Linden Blvd, Hicksville, NY 11801 | Registered Nurse | ~ |
| Ocean Breeze Infusion Care Inc | 98 Tec St, Hicksville, NY 11801 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Alex Choi | 58 Kraemer Street, Hicksville, NY 11801 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| Venci Benic | 334 Acre Ln, Hicksville, NY 11801 | Architect | 2018-08-01 ~ 2019-07-31 |
| Anne Marie Gonzalez | 39 Mcalester Avenue, Hicksville, NY 11801 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Helga Christiane Lavan | 7 Marion Street, Hicksville, NY 11801 | Notary Public Appointment | 2015-09-04 ~ 2020-09-30 |
| Shihui Chen | 183 7th St, Hicksville, NY 11801 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Fatema Begum | 168 W Nickolai St, Hicksville, NY 11801 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Dean Koutsoubis | 70 E Old Country Rd, Hicksville, NY 11801 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 11801 | |||
| City | HICKSVILLE |
| Zip Code | 11801 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HICKSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinitha Vellanki | 263 Farmington Ave Mc-1234, Farmington, CT 06030-1234 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Anne Marie E Arvidson | 1823 Queen Anne Ave N Ste 102, Seattle, WA 98109-2877 | Controlled Substance Registration for Practitioner | 2013-02-27 ~ 2015-02-28 |
| Jacob Katz Md | 81 Alston Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Jacob J Rauchwerger Md | 334 Marlborough Rd, Cedarhurst, NY 11516-1113 | Controlled Substance Registration for Practitioner | 2009-03-02 ~ 2011-02-28 |
| Jacob Miller | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacob P Hauptman Pa-c | 244 Edwards St Apt 5, New Haven, CT 06511-3732 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Salil G Jacob Md | 12 Corbin Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Robert Jacob Dds | 42 Andrews St, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Jacob D Siegel | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stanley Jacob | 201 Kyles Way, Shelton, CT 06484-6621 | 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).