JADE MAS
Resident Physician


Address: 788 High Ridge Rd, Stamford, CT 06905-1902

JADE MAS (Credential# 1488031) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2015. The license expiration date date is June 30, 2019. The license status is INACTIVE.

Business Overview

JADE MAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057605-RES. The credential type is resident physician. The effective date is July 1, 2015. The expiration date is June 30, 2019. The business address is 788 High Ridge Rd, Stamford, CT 06905-1902. The current status is inactive.

Basic Information

Licensee Name JADE MAS
Credential ID 1488031
Credential Number 1.057605-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 788 High Ridge Rd
Stamford
CT 06905-1902
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2015-07-01
Effective Date 2015-07-01
Expiration Date 2019-06-30
Refresh Date 2019-07-01

Other licenses

ID Credential Code Credential Type Issue Term Status
1308249 CSP.0061406 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-09-03 2015-09-03 - 2017-02-28 INACTIVE

Office Location

Street Address 788 HIGH RIDGE RD
City STAMFORD
State CT
Zip Code 06905-1902

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jorge E Castro 798 High Ridge Rd, Stamford, CT 06905-1902 Public Weigher 2014-10-28 ~ 2015-06-30
Cynthia Schulte 794 High Ridge Rd, Stamford, CT 06905-1902 Barber 2018-08-01 ~ 2020-07-31

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Competitor

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City STAMFORD
Zip Code 06905
License Type Resident Physician
License Type + County Resident Physician + STAMFORD

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Dataset Information

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).

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