JAY L DWORKIN DMD (Credential# 155161) 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.
JAY L DWORKIN DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014318. 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 497 Main St, Ansonia, CT 06401. The current status is active.
| Licensee Name | JAY L DWORKIN DMD |
| Credential ID | 155161 |
| Credential Number | CSP.0014318 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
497 Main St Ansonia CT 06401 |
| 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 | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 701320 | 2.006060 | Dentist | 1981-10-17 | 2019-06-01 - 2020-05-31 | ACTIVE |
| Street Address | 497 MAIN ST |
| City | ANSONIA |
| State | CT |
| Zip Code | 06401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany L Daniels | 497 Main St, Ansonia, CT 06401-2308 | Dental Hygienist | 2020-03-01 ~ 2021-02-28 |
| Richard A Brogadir | 497 Main St, Ansonia, CT 06401-2308 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ira J Stein | 497 Main St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert L Lerman | 497 Main St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Joseph M Dworkin | 497 Main St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 1994-05-18 ~ 1996-06-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca Lynn Kunstadt | 7 Belleview Terrave, Ansonia, CT 06401 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mann Inc | 505 Main St, Ansonia, CT 06401 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Domino's Pizza · Nbs Pizza Inc Dba | 137 N Main St, Ansonia, CT 06401 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Lisa Dilorenzo Sardo | 37 Kathy Lane, Ansonia, CT 06401 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Christi Lynn Crumb | 73 Woodbridge Ave, Ansonia, CT 06401 | Notary Public Appointment | 2020-04-09 ~ 2025-04-30 |
| Maureen E Witzmann | 68 Granite Terrace, Ansonia, CT 06401 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Anthony Wayne Md | 20 Westfield Avenue, Ansonia, CT 06401 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Raymond P Ragaini | 30 Winter Street, Ansonia, CT 06401 | Notary Public Appointment | 2017-07-01 ~ 2022-06-30 |
| Margaret Rivera | 34 Church Street, Ansonia, CT 06401 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Nadine Frey · Tonucci | 7 North Coe Lane, Ansonia, CT 06401 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 06401 | |||
| City | ANSONIA |
| Zip Code | 06401 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ANSONIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph M Dworkin | 497 Main St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 1994-05-18 ~ 1996-06-01 |
| Paul H Dworkin Md | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brad M Dworkin Md | 18 Ridge Rd, Mount Kisco, NY 10549-3944 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Dworkin Chevrolet Inc | 208 Seymour Ave, Derby, CT 06418 | Tv & Radio Dealer | 2008-09-01 ~ 2009-08-31 |
| Dworkin Construction Corp (usa) | 155 E 55th St Apt 304, New York, NY 10022-4051 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JAY L DWORKIN DMD.
| 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).