PETER R JACOBSON DMD (Credential# 157098) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.
PETER R JACOBSON DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016626. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 192 Dove Lane, Middletown, CT 06457. The current status is inactive.
| Licensee Name | PETER R JACOBSON DMD |
| Credential ID | 157098 |
| Credential Number | CSP.0016626 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
192 Dove Lane Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2006-03-01 |
| Expiration Date | 2007-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 701174 | 2.005794 | Dentist | 1980-06-21 | 2005-11-07 - 2006-12-31 | INACTIVE |
| 159876 | CSP.0013269 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 192 DOVE LANE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wells C Jacobson | Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karen R Jacobson | 324 St.john St 3, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Karen Jacobson | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sara J Jacobson Md | 1086 Elm St Suite 101, Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Ronald Jacobson Md | Pediatric Neurological Associates, White Plains, CT 10605 | Controlled Substance Registration for Practitioner | 1998-05-27 ~ 1999-02-28 |
| Heather Jane Mchugh | 37 Jacobson Farm Rd, East Hampton, CT 06424 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter N. Le | 202 Turtle Bay Dr, Branford, CT 06405-4904 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Peter K Lee | 53 Ridgewood Ct, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 1993-03-09 ~ 1995-03-01 |
| Peter Lee Kim | 3 Fox Hill Ln, Enfield, CT 06082-3816 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter Lee Kim | 20 Front St Apt 501, Hartford, CT 06103-2851 | Controlled Substance Registration for Practitioner | 2020-06-04 ~ 2021-02-28 |
Please comment or provide details below to improve the information on PETER R JACOBSON 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).