ALLAN M JACOBS (Credential# 153949) 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.
ALLAN M JACOBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016751. 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 61 South Main Street, West Hartford, CT 06107. The current status is active.
| Licensee Name | ALLAN M JACOBS |
| Credential ID | 153949 |
| Credential Number | CSP.0016751 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
61 South Main Street West Hartford CT 06107 |
| 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 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546849 | 1.027910 | Physician/Surgeon | 1987-02-11 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 61 SOUTH MAIN STREET |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sard Custom Homes Corporation | 61 South Main Street, West Hartford, CT 06107 | Home Improvement Contractor | 1996-12-01 ~ 1997-11-30 |
| Md Paul N. Graffagnino | 61 South Main Street, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 1994-08-10 ~ 1996-09-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST 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 |
| Ronnie L Jacobs Md | 78 Crestridge Dr, Asheville, NC 28803-9509 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Saranya Sakhamuri | 16 Jacobs Ln, Bethel, CT 06801 | 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 |
| Jason Jacobs | 141 Deerfield Ln N, Pleasantville, NY 10570-1430 | Controlled Substance Registration for Practitioner | 2019-01-08 ~ 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 |
| Catherine Jacobs | 2 Park Pl Apt 14k, Hartford, CT 06106-5014 | 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 |
| Edyta M Jacobs | 25 Wildcat Rd, Burlington, CT 06013-2424 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rose E Jacobs | 46 Twilight Dr, Granby, CT 06035 | 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).