JASON DEFOREST JONES (Credential# 2020375) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 23, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JASON DEFOREST JONES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073411. The credential type is controlled substance registration for practitioner. The effective date is March 23, 2020. The expiration date is February 28, 2021. The business address is 389 Summergate Dr, Winston Salem, NC 27103-5534. The current status is active.
| Licensee Name | JASON DEFOREST JONES |
| Credential ID | 2020375 |
| Credential Number | CSP.0073411 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
389 Summergate Dr Winston Salem NC 27103-5534 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-23 |
| Effective Date | 2020-03-23 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2002435 | 1.065035 | Physician/Surgeon | 2020-03-17 | 2020-03-17 - 2020-12-31 | ACTIVE |
| Street Address | 389 SUMMERGATE DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-5534 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Greenleaf Medical Supply LLC | 1409 Plaza West Rd Ste# G, Winston Salem, NC 27103 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Voelkel Corp LLC | 615 St. George Square Court, Ste. 300, Winston Salem, NC 27103 | Importer of Bedding & Upholstered Furniture | 2018-05-01 ~ 2019-04-30 |
| Kyle Gibson Smith | 2931 Woodworth Dr, Winston Salem, NC 27103 | Radiographer | ~ |
| Carol Marie Mabeus | 5012 Wyngate Village Dr, Winston Salem, NC 27103 | Registered Nurse | 2020-01-28 ~ 2020-10-31 |
| Anne Carolyne Tyner | 60 Scott Hollow Drive, Winston Salem, NC 27103 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Adrienne B Ross | 2250 Maple Ridge Lane, Winston Salem, NC 27103 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Elimarie Caballero Qui�ones | 173 Tudor Downs Rd., Winston Salem, NC 27103 | Psychologist | 2019-07-01 ~ 2020-06-30 |
| Virginia Carolina Vo | 131 Charlotte Ct, Winston Salem, NC 27103 | Registered Nurse - Temporary | 2018-05-22 ~ 2018-09-18 |
| Dorothy N Reilly | 2208 Elizabeth Ave, Winston-salem, NC 27103 | Real Estate Broker | 2002-08-06 ~ 2003-03-31 |
| Matthew A Augustine | 2786 Kingsdale Court, Winston-salem, NC 27103 | Pharmacist | 2010-02-01 ~ 2011-01-31 |
| Find all Licenses in zip 27103 | |||
| City | WINSTON SALEM |
| Zip Code | 27103 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINSTON SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason Jones | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly M Deforest | 267 Rte 87, Columbia, CT 06237 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arash Hadipour Niktarash | 25 Deforest St Apt C24, Seymour, CT 06483-2844 | Controlled Substance Registration for Practitioner | 2009-07-07 ~ 2011-02-28 |
| Nancy G Jones Bryant · Jones | Yale Univ Sch Med, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 1995-12-05 ~ 1997-02-28 |
| Jason M Hammond | 1 3rd Ave, Mineola, NY 11501 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jason G. Lai | Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amy K Jones | 199 River Rd, Shelton, CT 06484-4400 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason S Chang Md | 40 Temple St Ste 6c, New Haven, CT 06510-2715 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jason A Lachance Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jason B Gerlak | 424 E 115th St Apt 2b, New York, NY 10029-1753 | Controlled Substance Registration for Practitioner | 2014-07-30 ~ 2015-02-28 |
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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).