JASON I DAILEY (Credential# 1490652) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is February 28, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JASON I DAILEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058754-RES. The credential type is resident physician. The effective date is February 28, 2017. The expiration date is June 30, 2021. The business address is 3261 Timberdale Dr, Clarksville, TN 37042-8664. The current status is active.
| Licensee Name | JASON I DAILEY |
| Credential ID | 1490652 |
| Credential Number | 1.058754-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
3261 Timberdale Dr Clarksville TN 37042-8664 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-02-28 |
| Effective Date | 2017-02-28 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1326845 | CSP.0061902 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-12-30 | 2017-03-01 - 2019-02-28 | LAPSED |
| 1315345 | 1.054824 | Physician/Surgeon | 2015-12-22 | 2016-07-01 - 2017-06-30 | INACTIVE |
| Street Address | 3261 TIMBERDALE DR |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37042-8664 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marisa Maria Mercer | 3373 Durrett Dr, Clarksville, TN 37042 | Registered Nurse - Temporary | 2020-06-22 ~ 2020-10-20 |
| Jungjik Park | 213 Cranklen Cir Apt D, Clarksville, TN 37042 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Kathryn A Fullman | 2195 West Allen Griffey Road, Clarksville, TN 37042 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Laura K Treadway | 1528 Cedar Springs Circle, Clarksville, TN 37042 | Registered Nurse | 2009-05-20 ~ 2010-04-30 |
| Michele L Christian | 296 Tobacco Rd, Clarksville, TN 37042 | Hairdresser/cosmetician | 1993-01-25 ~ 1994-01-31 |
| Velma S Ackley | 5020 Collinwood Dr, Clarksville, TN 37042 | Licensed Practical Nurse | 1997-05-06 ~ 1998-07-31 |
| Gary L Morrison II · Pci Energy Services | 284 Audrea Ln, Clarksville, TN 37042 | Heating, Piping & Cooling Limited Journeyperson | 2001-09-01 ~ 2002-08-31 |
| Talonda Hopkins | 3749 Heather Dr, Clarksville, TN 37042-7261 | Registered Nurse - Temporary | 2010-03-16 ~ 2010-07-14 |
| Correy Anne Mcdermott | 1132 York Meadows Rd, Clarksville, TN 37042-7845 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Chantae Watford | 1196 Chinook Cir, Clarksville, TN 37042-8234 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Find all Licenses in zip 37042 | |||
| City | CLARKSVILLE |
| Zip Code | 37042 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + CLARKSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joelynn Marie Dailey | 85 Alton Street, Manchester, CT 06042 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Jason Chang | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Jason Fisher | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Jason Cuomo | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jason Xenakis | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Jason Mark Beckta | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jason Andrew Zayac | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jason A Chin | 109 Church Street #223, New Haven, CT 06510 | Resident Physician | 2017-07-01 ~ 2018-06-30 |
| Jason Michael Tanner | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Eric Jason Berkowitz | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-06-27 ~ 2019-06-30 |
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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).