JACOB P HAUPTMAN PA-C (Credential# 493836) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
JACOB P HAUPTMAN PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043082. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 244 Edwards St Apt 5, New Haven, CT 06511-3732. The current status is inactive.
| Licensee Name | JACOB P HAUPTMAN PA-C |
| Credential ID | 493836 |
| Credential Number | CSP.0043082 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
244 Edwards St Apt 5 New Haven CT 06511-3732 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-02-04 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743791 | 23.002042 | Physician Assistant | 2007-12-03 | 2009-02-04 - 2010-03-31 | INACTIVE |
| Street Address | 244 EDWARDS ST APT 5 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-3732 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maureen Guiney | 244 Edwards St Apt 7, New Haven, CT 06511-3732 | Registered Nurse | 2011-04-01 ~ 2012-03-31 |
| Katharine A Swan | 244 Edwards St Apt 7, New Haven, CT 06511-3732 | Registered Nurse | 2010-11-01 ~ 2011-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leora Hauptman | 90 Fieldstone Rd, Stamford, CT 06902-2578 | Controlled Substance Registration for Practitioner | 2020-06-01 ~ 2021-02-28 |
| Jacob C Nafziger | 49 Lake Dr S, New Fairfield, CT 06812-3510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tessie K Jacob | 469 Migeon Ave, Torrington, CT 06790-4643 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael H Wilhelm | 622 Jacob Rd, Southbury, CT 06488-2768 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Salil G Jacob Md | 12 Corbin Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Samuel Jacob | 574 Central Ave Apt 3a, New Haven, CT 06515-2154 | Controlled Substance Registration for Practitioner | 2011-08-29 ~ 2013-02-28 |
| Jacob Miller | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jobey A. Jacob Md | 11 Whipporwill Dr, Shelton, CT 06484-5900 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacob D Siegel | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacob C Wood | 10 Farmhill Dr, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).