JACK A ELIAS (Credential# 160118) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
JACK A ELIAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018424. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is Boardman 110, New Haven, CT 06520-8056. The current status is inactive.
| Licensee Name | JACK A ELIAS |
| Credential ID | 160118 |
| Credential Number | CSP.0018424 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Boardman 110 New Haven CT 06520-8056 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-04-27 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 548797 | 1.030931 | Physician/Surgeon | 1990-07-13 | 2014-05-01 - 2015-04-30 | INACTIVE |
| Street Address | Boardman 110 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520-8056 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Glen A Henry | Po Box 208056, New Haven, CT 06520-8056 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jack Elias · Yale University School of Medicine | 1 Gilbert Street, New Haven, CT 06510-8056 | Controlled Substance Laboratory | 2014-03-05 ~ 2015-01-31 |
| Elias A. Pimentel | 148 East Ave Ste 1c, Norwalk, CT 06851-5727 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elias C Deros | 118 Elm Street, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elias Michael Michaelides | 800 Howard Ave Ypb 4, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hiam Elias Dmd | 142 Dover Rd, West Hartford, CT 06119-1214 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Susan Elias Md | 48 Prospect St, Union City, CT 06770 | Controlled Substance Registration for Practitioner | 1994-07-29 ~ 1996-08-01 |
| Richard Lawrence Elias | 136 Palmer Ave., Mamaroneck, NY 10543 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elias I Obeid Md | 1450 Chapel St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-06 ~ 2011-02-28 |
| Elias J Marsh | 25 Cooper Rd, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 1993-12-28 ~ 1996-01-01 |
| Jack Zazzaro, D.m.d. | 316 Main St S Ste D, Southbury, CT 06488-4238 | Controlled Substance Registration for Practitioner | 2016-03-14 ~ 2017-02-28 |
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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).