JERRY O STERN MD (Credential# 361371) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 8, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JERRY O STERN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034480. The credential type is controlled substance registration for practitioner. The effective date is April 8, 2019. The expiration date is February 28, 2021. The business address is 58 Orchard Hill Rd, Katonah, NY 10536-3024. The current status is active.
| Licensee Name | JERRY O STERN MD |
| Credential ID | 361371 |
| Credential Number | CSP.0034480 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
58 Orchard Hill Rd Katonah NY 10536-3024 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-01-14 |
| Effective Date | 2019-04-08 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-04-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552840 | 1.035247 | Physician/Surgeon | 1996-05-17 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 58 ORCHARD HILL RD |
| City | KATONAH |
| State | NY |
| Zip Code | 10536-3024 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George Uy Md | Four Winds Hospital, Katonah, NY 10536 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Tatiane V Boyd | 69 Maple Avenue, Katonah, NY 10536 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kathleen A Scott- Vicari | 12 Primrose Drive, Katonah, NY 10536 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Patrick M Croke | 20 Woodsbridge Road, Katonah, NY 10536 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nelson J Salazar | 66 Edgewood Rd, Katonah, NY 10536 | Real Estate Salesperson | 2019-10-27 ~ 2020-05-31 |
| Zenobia Kellock | 6 Lois Place, Katonah, NY 10536 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Joseph R Kiefer | 16 South Road, Katonah, NY 10536 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Christina M Izzo | 6 Kniffen Rd, Katonah, NY 10536 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurence B Sandler | 7 Comanche Court, Katonah, NY 10536 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Christopher J Repp | 65 Harris Rd, Katonah, NY 10536 | Emergency Medical Technician | 2020-10-01 ~ 2022-09-30 |
| Find all Licenses in zip 10536 | |||
| City | KATONAH |
| Zip Code | 10536 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KATONAH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harvey Stern | 7 5th Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert Stern | 59 Old Barnabas Rd, Woodbridge, CT 06525-1947 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leonard W Stern | 41 Marvel Rd, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alan L Stern | 1 Lake St, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karyn L Stern Dmd | 10 Waterside Plaza Apt 414, New York, NY 10010 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Leah C Stern | 1572 S Main St, Cheshire, CT 06410-3578 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paula D Stern | 780 Farmington, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edra L Stern Md | 1455 East Putnam Ave, Old Greenwich, CT 06870 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shveta Stern | 21 Sunrise Hill Dr, West Hartford, CT 06107-3349 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2015-02-28 |
| Gloria Maczuga-stern | 1100 Kings Hwy East, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JERRY O STERN MD.
| 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).