MARY-JANE S HOGAN MD (Credential# 203652) 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.
MARY-JANE S HOGAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027761. 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 3 Greystone Farm Lane, Westport, CT 06880. The current status is active.
| Licensee Name | MARY-JANE S HOGAN MD |
| Credential ID | 203652 |
| Credential Number | CSP.0027761 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3 Greystone Farm Lane Westport CT 06880 |
| 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 | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555012 | 1.037422 | Physician/Surgeon | 1998-11-27 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 3 GREYSTONE FARM LANE |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Jane Brackett Md | 45 Litchfield Rd, Watertown, CT 06795-1944 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Mary Jane Drewa Tower | 46 Forest Dr, Salem, CT 06420-3724 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary Jane Galvin Aprn | 650 Durham Road, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary Jane Vallee Dds | 80 Kaya Lane, Mansfield Center, CT 06250 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Ruey-jane Jane Wu | 11 South Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emily K Hogan | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2006-09-20 ~ 2007-02-28 |
| Kathryn A Hogan | 197 Wooster St Apt 1d, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Susan A Nally Md | 445 Hogan Road, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ruth Hogan Pa | 89 Beverly Drive, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ann E Hogan Dds | 26 Strawberry Hill Avenue, Stamford, CT 06902 | 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).