STANLEY W JACKSON (Credential# 540195) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 25, 1993. The license expiration date date is November 30, 1994. The license status is INACTIVE.
STANLEY W JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011968. The credential type is physician/surgeon. The effective date is October 25, 1993. The expiration date is November 30, 1994. The business address is 72 Downs Rd, Bethany, CT 06524. The current status is inactive.
| Licensee Name | STANLEY W JACKSON |
| Credential ID | 540195 |
| Credential Number | 1.011968 |
| Credential Type | Physician/Surgeon |
| Business Address |
72 Downs Rd Bethany CT 06524 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1964-11-09 |
| Effective Date | 1993-10-25 |
| Expiration Date | 1994-11-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 72 DOWNS RD |
| City | BETHANY |
| State | CT |
| Zip Code | 06524 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stanley Jackson Md | 72 Downs Rd, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 1993-11-03 ~ 1995-12-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine M Ford · Porto | 78 Tuttle Court, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Erin Mcknight | 24 Timber Ln, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cheryl A Bevvino | 106 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Catherine Geloso | 19 Amadeo Drive, Bethany, CT 06524 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Patricia Burke | 12 Miller Rd, Bethany, CT 06524 | Veterinarian | 2020-09-01 ~ 2021-08-31 |
| Complete Excavating Services LLC | 674 Amity Rd, Bethany, CT 06524 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
| Brian K Coutermarsh | 32 Emerald Lane, Bethany, CT 06524 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Michelle L Amato | 172 Russell Rd, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Joseph L Colaci | 57 Edwards Road, Bethany, CT 06524 | Nursing Home Administrator | 2020-05-01 ~ 2022-04-30 |
| Karen C Praskievicz | 85 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06524 | |||
| City | BETHANY |
| Zip Code | 06524 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BETHANY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stanley W Raczek | CT | Physician/surgeon | 1979-01-29 ~ 1989-10-31 |
| Stanley J Foster IIi | Po Box 94, Goshen, CT 06756-0094 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Stanley A Glassman Md | 2 Northwestern Dr Ste 100, Bloomfield, CT 06002-3480 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Greta H Boynton Md | 458 Stanley Dr, Glastonbury, CT 06033-2624 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stanley G Possick | 102 Marvel Rd, New Haven, CT 06515 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Stanley Swierzewski IIi | 10 Hospital Dr Ste 204, Holyoke, MA 01040-6603 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Alejandro Rangel Md | 13 Stanley Dr, Glastonbury, CT 06033-2619 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Stanley I Harris | 75 Neptune Dr, Old Saybrook, CT 06475-2935 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
| Christina - Stanley | 46 Paul Ave., Warwick, RI 02886 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Stanley R Sylvester | 101 Main St, Unionville, CT 06085 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
Please comment or provide details below to improve the information on STANLEY W JACKSON.
| 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).