JACK E LEVINE MD (Credential# 288818) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
JACK E LEVINE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031400. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 6 Nancy Lane, Chappaqua, NY 10514. The current status is inactive.
| Licensee Name | JACK E LEVINE MD |
| Credential ID | 288818 |
| Credential Number | CSP.0031400 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6 Nancy Lane Chappaqua NY 10514 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2004-02-29 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-01-26 |
| Street Address | 6 NANCY LANE |
| City | CHAPPAQUA |
| State | NY |
| Zip Code | 10514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jack E Levine | 6 Nancy Lane, Chappaqua, NY 10514 | Physician/surgeon | 2003-03-06 ~ 2004-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
| Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
| John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
| Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10514 | |||
| City | CHAPPAQUA |
| Zip Code | 10514 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHAPPAQUA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jack M Levine | 375 Orange St, New Haven, CT 06511-6406 | Controlled Substance Registration for Practitioner | 2019-02-28 ~ 2021-02-28 |
| 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 |
| Howard Levine Dvm | Po Box 87, S Woodstock, CT 06267 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| William Levine Dpm | 32 Cherry St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 1993-09-27 ~ 1995-03-01 |
| Robert A Levine | 41 Rayfield Rd, Westport, CT 06880-4526 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara B Levine Md | 45 Tisdale Rd, Scarsdale, NY 10583-5630 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John B Levine Md | 55 Blossom St Rm 405, Boston, MA 02114-2602 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Michael C Levine Dmd | 20 Hartford Rd, Salem, CT 06420 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Joshua L Levine | 545 W 110th St Apt 11c, New York, NY 10025-2045 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Reed Levine Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
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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).