KAMILAH JACKSON MD (Credential# 477938) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
KAMILAH JACKSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042015. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 230 South Frontage Rd, New Haven, CT 06520-7900. The current status is inactive.
| Licensee Name | KAMILAH JACKSON MD |
| Credential ID | 477938 |
| Credential Number | CSP.0042015 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
230 South Frontage Rd New Haven CT 06520-7900 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2007-08-02 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563212 | 1.045630 | Physician/Surgeon | 2007-07-09 | 2010-11-01 - 2011-10-31 | INACTIVE |
| Street Address | 230 SOUTH FRONTAGE RD |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520-7900 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dana L Kober Md | 230 South Frontage Rd, New Haven, CT 06511 | Physician/surgeon | 2007-06-29 ~ 2008-07-31 |
| Lynelle Thomas Md | 230 South Frontage Rd, New Haven, CT 06520-7900 | Controlled Substance Registration for Practitioner | 2006-03-16 ~ 2007-02-28 |
| Sara S Patrick Aprn · Spectrum Psychiatric Group | 230 South Frontage Rd, New Haven, CT 06520-7900 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph L Woolston Md · Yale Child Study Center | Po Box 207900, New Haven, CT 06520-7900 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Fred R Volkmar Md | Child Study Ctr, New Haven, CT 06520-7900 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Barbara F Nordhaus | Yale Child Study Ctr, New Haven, CT 06520-7900 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| John E Schowalter | Yale Child Study, New Haven, CT 06520-7900 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
| David F Musto | Yale Sch Medicine, New Haven, CT 06520-7900 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Donald J Cohen Md | 230 South Frontage Road, New Haven, CT 06520-7900 | Physician/surgeon | 2001-08-02 ~ 2002-09-30 |
| Richard H Granger | Yale Child Study Ct, New Haven, CT 06520-7900 | Physician/surgeon | 1999-08-04 ~ 2000-08-31 |
| Samuel L Judice Jr | Yale Child Study Cnt, New Haven, CT 06520-7900 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| James F Leckman Md | Yale Child Study Center, New Haven, CT 06520-7900 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James P Comer Md | Yale Child Study Ctr, New Haven, CT 06520-7900 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Find all Licenses in zip 06520-7900 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kamilah M Rose | 69 East Avenue, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine A Jackson Vmd | 782 Amity Rd, Bethany, CT 06524-3082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stanley Jackson Md | 72 Downs Rd, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 1993-11-03 ~ 1995-12-01 |
| Danwen Yang | 147 Jackson St, Ansonia, CT 06401-1135 | Controlled Substance Registration for Practitioner | 2019-04-26 ~ 2021-02-28 |
| Peter D Jackson | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Dowin H Boatright | 105 Jackson Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cory D Jackson | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Van R Jackson | 1450 Chapel St, New Haven, CT 06511-4405 | Controlled Substance Registration for Practitioner | ~ |
| Jeanne Jackson Md | 60 Washington Ave #203, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2015-09-20 ~ 2017-02-28 |
| Lorelei Wakefield Dvm | Po Box 10101, Jackson, WY 83002-0101 | Controlled Substance Registration for Practitioner | 2009-05-28 ~ 2011-02-28 |
Please comment or provide details below to improve the information on KAMILAH JACKSON 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).