JEFF J KOA DMD (Credential# 348662) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
JEFF J KOA DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034060. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 2 Schooner Lane, Milford, CT 06460. The current status is inactive.
| Licensee Name | JEFF J KOA DMD |
| Credential ID | 348662 |
| Credential Number | CSP.0034060 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2 Schooner Lane Milford CT 06460 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2005-03-01 |
| Expiration Date | 2006-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 703174 | 2.008722 | Dentist | 2000-03-15 | 2004-11-15 - 2006-01-31 | INACTIVE |
| 289132 | CSP.0029418 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE |
| Street Address | 2 SCHOONER LANE |
| City | MILFORD |
| State | CT |
| Zip Code | 06460 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | MILFORD |
| Zip Code | 06460 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeff Ye Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Jeff Raizer Md | 896 Quinnipiac Ave #7, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Jeff G Will | 267 Cottage Grove Rd, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Jeff B Jorden Dds | 60 Fleming Ct, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Jeff G Wang | 55 Talcott Rd, Rye Brook, NY 10573-1420 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeff Herbst Md | 36 Belmont St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Jeff Lukish | 1711 Crestview Dr, Rockville, MD 20854-2629 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jeff Chung Md | 111 Park Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Jeff Gunzenhauser Md | 9324 Townwalk Dr, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 1995-06-15 ~ 1996-02-28 |
| Jeff Cersonsky Md | 30 Quaker Farms Road, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on JEFF J KOA DMD.
| 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).