JINNAH A PHILLIPS MD (Credential# 499120) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JINNAH A PHILLIPS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043315. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1746 Cole Blvd, Lakewood, CO 80401. The current status is active.
| Licensee Name | JINNAH A PHILLIPS MD |
| Credential ID | 499120 |
| Credential Number | CSP.0043315 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1746 Cole Blvd Lakewood CO 80401 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-04-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563486 | 1.045904 | Physician/Surgeon | 2007-10-09 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 864025 | 70.921924 | Emergency Medical Technician | 1992-09-01 | - 1994-09-30 | INACTIVE |
| Street Address | 1746 Cole Blvd |
| City | Lakewood |
| State | CO |
| Zip Code | 80401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sajal Sharma Pokharel | 1746 Cole Blvd, Lakewood, CO 80401 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Boppy Company (the) | 350 Indiana St Ste 800, Golden, CO 80401 | Importer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Heather E Stuart | 532 Golden Ridge Rd, Golden, CO 80401 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jue Abrahamson | 3195 Cole Street, Golden, CO 80401 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| John W Baker | 701 12th Street Ste# 211, Golden, CO 80401 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Michael P Day | 14143 Denver West Pkwy, Golden, CO 80401 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Senitizo | 2344 Foothills Dr S, Golden, CO 80401 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Roger D Loomis | 14143 Denver West Pkwy Suite 300, Golden, CO 80401 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Colorado School of Mines Foundation Inc. | 923 16th St Po Bx 4005, Golden, CO 80401 | Public Charity-exempt From Financial Requirements | ~ |
| Ad & C Group Inc | 288 Cedar Rd, Golden, CO 80401 | Professional Engineer | 1987-02-23 ~ 1988-01-31 |
| Peter Sabeff | 780 Simms Street, Suite 210, Golden, CO 80401 | Professional Engineer | 2008-02-01 ~ 2009-01-31 |
| Find all Licenses in zip 80401 | |||
| City | Lakewood |
| Zip Code | 80401 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Lakewood |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Foster I Phillips | 1 Grove St Ste 204, New Britain, CT 06053-4116 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jordan E Phillips | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Heather L Phillips | 35 Westwood Cir, Meriden, CT 06450-7253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Preston J Phillips Md | 17 Treadwell St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Christopher R Phillips Pa | 331 Trail Rd, Fiskdale, MA 01518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Megan J Phillips | 339 N Society Rd, Canterbury, CT 06331-1240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacy A Phillips | 111 E Weatogue St, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gail Phillips Lnm | 67 Maple St, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2003-01-24 ~ 2004-02-28 |
| Julie Phillips | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2007-07-16 ~ 2008-02-29 |
| Harold E Phillips Md | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).