JONATHAN SLATER (Credential# 1413024) 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.
JONATHAN SLATER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065046. 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 100 Wason Ave Ste 200, Springfield, MA 01107-1179. The current status is active.
| Licensee Name | JONATHAN SLATER |
| Credential ID | 1413024 |
| Credential Number | CSP.0065046 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
100 Wason Ave Ste 200 Springfield MA 01107-1179 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-03-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 549665 | 1.032013 | Physician/Surgeon | 1991-11-29 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 168956 | CSP.0024225 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 100 WASON AVE STE 200 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1179 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dennis J Dicampli Md | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Shaji P Daniel | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Barbara A Greco Md | 100 Wason Ave Ste 200, Springfield, MA 01107-1119 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Neeraj Jain | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hemant Magoo | 100 Wason Ave Ste 200, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| George Fares Md | 100 Wason Ave Ste 200, Springfield, MA 01107-1118 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Krishnan Babu | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ashish Verma | 100 Wason Ave Ste 200, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen Sweet Md | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Benjamin J Freda Do | 100 Wason Ave Ste 200, Springfield, MA 01107-1119 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew S Wetstone | 100 Wason Ave Ste 230, Springfield, MA 01107-1179 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Elizabeth Marshall | 945 Armory St, Springfield, MA 01107 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jennifer L Fish | 367 Union Street, Springfield, MA 01107 | Hairdresser/cosmetician | ~ |
| Joseph Pagan | 59 Rowland Street, Springfield, MA 01107 | Medication Administration Certification | 2020-04-20 ~ 2022-04-19 |
| Daniel Laguerre | 382 Springfield St, Springfield, MA 01107 | Crane Operator | ~ |
| Kamal Kant Kalia | 2 Medical Center Drive, Springfield, MA 01107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bushee Enterprises LLC | Po Box 1196, Southwick, MA 01107 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| B Lopez | 165 Prospect Street, Springfield, MA 01107 | Notary Public Appointment | 2011-10-01 ~ 2016-09-30 |
| Beth C Mcinerny | 260 Ware Road, Belchertown, MA 01107 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Jorge Enrique Rivera | 20 Narragansett Street, Springfield, MA 01107 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
| Rachael Hynds-decoteau | 22 Candice Cir, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-09-19 ~ 2021-02-28 |
| Find all Licenses in zip 01107 | |||
| City | SPRINGFIELD |
| Zip Code | 01107 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John W Suplicki Md | 40 Slater Ave, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 1993-01-25 ~ 1995-02-01 |
| Murali K Senapathi Md | 265 Slater St Apt 217, Manchester, CT 06042-8926 | Controlled Substance Registration for Practitioner | 2013-04-25 ~ 2013-08-22 |
| James A Slater Md | 173 East Ave, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory S Slater Md | 36 Windsor Rd, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Dennis E Slater Md | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Keith P Meslin | 265 Slater St 220, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Richard Slater | 103 Brookside Dr, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Norman Katzoff Dmd | 87 Slater Ave, Jewett City, CT 06351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren B Slater | 115 Springwood Lane, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Richard R Slater | 1684 Dixwell Ave, Hamden, CT 06514 | 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).