MARTIN L JAFFE MD (Credential# 178985) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.
MARTIN L JAFFE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025412. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1998. The expiration date is February 28, 1999. The business address is 4809 Ave N #126, Brooklyn, NY 11234. The current status is inactive.
| Licensee Name | MARTIN L JAFFE MD |
| Credential ID | 178985 |
| Credential Number | CSP.0025412 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4809 Ave N #126 Brooklyn NY 11234 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1998-03-01 |
| Expiration Date | 1999-02-28 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553426 | 1.035833 | Physician/Surgeon | 1997-02-14 | 1997-06-03 - 1998-06-30 | INACTIVE |
| Street Address | 4809 AVE N #126 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anaya Victoria Morales | 1487 E 37th Street, Brooklyn, NY 11234 | Nail Technician | ~ |
| Yevgeniy A Mekhtiyev | 1860 East 33rd St, Brooklyn, NY 11234 | Architect | 2020-08-01 ~ 2021-07-31 |
| Gabriel Kupfer | 2444 E63 Street, Brooklyn, NY 11234 | Emergency Medical Technician | ~ |
| Shelon Vanessa Gaul | 1272 East 36th Street, Brooklyn, NY 11234 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Rauldon Oscar Boyce | 865 E 57th St Apt 1, Brooklyn, NY 11234 | Registered Nurse | 2020-03-31 ~ 2020-10-31 |
| Jie Zhu Zhu | 3703 Ave M, Brooklyn, NY 11234 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Sean M Crowley | 3017 Quentin Rd, Brooklyn, NY 11234 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| C Leroy W Bentham Od | 1200 E 53 Street, Brooklyn, NY 11234 | Optometrist | 2020-03-01 ~ 2021-02-28 |
| Remedios M Tanquerido | 1885 E 2nd Floor 51st St, Brooklyn, NY 11234 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Wally Yu Hua Wu | 2063 East 34th Street, Brooklyn, NY 11234 | Master's Level Social Worker | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 11234 | |||
| City | BROOKLYN |
| Zip Code | 11234 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joshua S Jaffe | Po Box 1040, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David H Jaffe Md | 236 Old Post Road, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Garrett R Jaffe | 486 27th Ave N, Saint Petersburg, FL 33704-2838 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frances M Deegan Aprn | 84 Jaffe Ter, Colchester, CT 06415-1004 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ariel Beth Jaffe | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2020-03-24 ~ 2021-02-28 |
| Merrill B Jaffe Md | 174 Cipriani Way, North Venice, FL 34275 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip E Jaffe Md | 2200 Whitney Ave Suite 360, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Alan Jaffe Md | The Westmed Medical Group, Purchase, NY 10577 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Martin S De Somma Dds | 42 S Main St, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Martin J Spinella | 60 Westwood Ave Ste 4, Waterbury, CT 06708-2460 | 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).