LENWORTH JACOBS JR (Credential# 143078) 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.
LENWORTH JACOBS JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011768. 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 Hartford Hospital, Hartford, CT 06102. The current status is active.
| Licensee Name | LENWORTH JACOBS JR |
| Credential ID | 143078 |
| Credential Number | CSP.0011768 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Hartford Hospital Hartford CT 06102 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| Street Address | HARTFORD HOSPITAL |
| City | HARTFORD |
| State | CT |
| Zip Code | 06102 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David I Silverman Md | Hartford Hospital, Hartford, CT 06102-5037 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Xianyuan Song | Hartford Hospital, Hartford, CT 06106 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Dean F Uphoff | Hartford Hospital, Hartford, CT 06115 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Joao Delgado Md | Hartford Hospital, Hartford, CT 06102 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Miriam M Friedlander | Hartford Hospital, Hartford, CT 06102 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Randolph E Edwards Md | Hartford Hospital, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christina M Feller | Hartford Hospital, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey Kluger Md | Hartford Hospital, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason C Jacob | Hartford Hospital, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rachana Kanaujia | Hartford Hospital, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sivabalaji Kaliamurthy | 80 Seymour Street, Hartford, CT 06102 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Erica S Hammer | 85 Jefferson Ave Ste 625, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph A Digiuseppe | Dept of Pathology, Hartford, CT 06102 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph V Portereiko Do | Hartford Hospital : Department of Surgery, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Vasanthy Thevarajah | Hardfort Hospital, Hartford, CT 06102 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elaine Manson | 135 Dapex, Hartford, CT 06102 | Medication Administration Certification | ~ |
| Valridine Durrant | 2718 Main St, Hartford, CT 06102 | Medication Administration Certification | 2020-03-08 ~ 2022-03-07 |
| Jennifer Susan Thran | 80 Seymore St, Hartford, CT 06102 | Registered Nurse | ~ |
| Monique M Vaughan | 401 Granby Street, Hartford, CT 06102 | Real Estate Salesperson | ~ |
| Bruce M Kaplan Md | Hartford Hospital Gray Cancer Center, Hartford, CT 06102 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06102 | |||
| City | HARTFORD |
| Zip Code | 06102 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert J Jacobs | 100 Rte 37, New Fairfield, CT 06812 | Controlled Substance Registration for Practitioner | 2019-02-04 ~ 2019-02-28 |
| Saranya Sakhamuri | 16 Jacobs Ln, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ronnie L Jacobs Md | 78 Crestridge Dr, Asheville, NC 28803-9509 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Rose E Jacobs | 46 Twilight Dr, Granby, CT 06035 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason Jacobs | 141 Deerfield Ln N, Pleasantville, NY 10570-1430 | Controlled Substance Registration for Practitioner | 2019-01-08 ~ 2021-02-28 |
| Edyta M Jacobs | 25 Wildcat Rd, Burlington, CT 06013-2424 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wenli Gao | 9 Jacobs Lane, Newtown, CT 06470 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Henry E Jacobs | 1 Northwestern Dr, Bloomfield, CT 06002-3400 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Catherine Jacobs | 2 Park Pl Apt 14k, Hartford, CT 06106-5014 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gabriel B Jacobs | 80 Howe St Apt 100, New Haven, CT 06511-4630 | Controlled Substance Registration for Practitioner | 2010-12-17 ~ 2013-02-28 |
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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).