JACK MILLER MD (Credential# 174805) 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.
JACK MILLER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024265. 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 384 West Rd, Alford, MA 01266. The current status is active.
| Licensee Name | JACK MILLER MD |
| Credential ID | 174805 |
| Credential Number | CSP.0024265 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
384 West Rd Alford MA 01266 |
| 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 |
| Street Address | 384 WEST RD |
| City | ALFORD |
| State | MA |
| Zip Code | 01266 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jack A Miller | 384 West Rd, Alford, MA 01266 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey Michael Rossman | 247 East Road, West Stockbridge, MA 01266 | Psychologist | ~ |
| Casey Lyn Wilton | 22 Moscow Road, West Stockbridge, MA 01266 | Master's Level Social Worker | 2020-02-01 ~ 2021-01-31 |
| Michael Peter Troiano | 317 Great Barrington Rd, West Stockbridge, MA 01266 | Registered Nurse | 2018-12-17 ~ 2019-09-30 |
| Karen A Kowgios | 83 Maple Hill Road, West Stockbridge, MA 01266 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Frank R Love Jr | 12 Cross Road, West Stockbridge, MA 01266 | Repairer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| Sheena M Gennari | 6 Baker Street, West Stockbridge, MA 01266 | Licensed Practical Nurse | 2019-08-01 ~ 2020-07-31 |
| Berkshire Ice Cream | 4 Albany Rd, West Stockbridge, MA 01266 | Frozen Dessert Wholesaler | 2000-01-19 ~ 2000-12-31 |
| Charles R Thunfors | 2 Stockbridge Rd, W Stockbridge, MA 01266 | Real Estate Broker | 2000-06-01 ~ 2001-03-31 |
| Steven F Haas | 225 East Rd, Alford, MA 01266 | Architect | 2009-08-01 ~ 2010-07-31 |
| Carmen D Morse | Rd 2. 2 Maple Hill Road, West Stockbridge, MA 01266 | Registered Nurse | 2008-11-05 ~ 2009-12-31 |
| Find all Licenses in zip 01266 | |||
| City | ALFORD |
| Zip Code | 01266 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ALFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Jack J Tse | 546 S Broad St, Meriden, CT 06450-6600 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jack Finkelstein | 40 Gay St, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jack Holden Md | Po Box 709, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Jack L Gish | 85 North St, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| S Jack Landau Md | 44 W 62nd St Apt 7f, New York, NY 10023-7010 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jack A Reynolds | 93 Randi Dr, Madison, CT 06443-2463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jack M Levine | 375 Orange St, New Haven, CT 06511-6406 | Controlled Substance Registration for Practitioner | 2019-02-28 ~ 2021-02-28 |
| Jack D Kennis | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2017-08-15 ~ 2019-02-28 |
| Jack Stark | 132 Main St, Danbury, CT 06810 | 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).