JORDAN MARCOU (Credential# 1463880) 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.
JORDAN MARCOU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067166. 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 5520 Park Ave, Trumbull, MA 06611-3463. The current status is active.
| Licensee Name | JORDAN MARCOU |
| Credential ID | 1463880 |
| Credential Number | CSP.0067166 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5520 Park Ave Trumbull MA 06611-3463 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-12-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1452749 | 23.004008 | Physician Assistant | 2017-11-29 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 5520 PARK AVE |
| City | TRUMBULL |
| State | MA |
| Zip Code | 06611-3463 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dina Ferdman | 5520 Park Ave, Trumbull, CT 06611-3463 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Radhika S Datar | 5520 Park Ave, Trumbull, CT 06611-3466 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Smilow Cancer Hospital Trumbull Treatment Ctr | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Danielle Marie Bertoni | 5520 Park Ave, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Germano Guadagnoli Md | 5520 Park Ave, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rui Zhang | 5520 Park Ave, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justin Persico | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pediatric Oncology Treatment Center | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roxanne C Abder Md | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew S Kenler | 5520 Park Ave, Trumbull, CT 06611-3465 | 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 |
|---|---|---|---|
| Philip Simkovitz Md | 5520 Park Ave Ste Wp1-900, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anjanette D Ferris | 10 Jordan Ln, Unionville, CT 06085-1166 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jordan C Collier | 543 Main St Apt 400, New Rochelle, NY 10801-7264 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sapna Khubchandani Md | 2 Jordan Ln, Unionville, CT 06085-1166 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jordan M Vanlare | 790 Riverside Dr Apt 6l, New York, NY 10032-7437 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
| Jordan J. Wong | 204-14 26th Ave., Bayside, NY 11360 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jordan E Phillips | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Peter W Gardner | 92 Jordan Ln, Stamford, CT 06903-3914 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jordan C Kawano | 128 Nash St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| B Bryan Jordan Do | 55 Wagonwheel Rd, Redding, CT 06896 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Wayne C Paulekas Md | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 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).