IRVIN R JENNINGS MD (Credential# 541390) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
IRVIN R JENNINGS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015203. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 75 West St, Danbury, CT 06810-6528. The current status is active.
| Licensee Name | IRVIN R JENNINGS MD |
| Credential ID | 541390 |
| Credential Number | 1.015203 |
| Credential Type | Physician/Surgeon |
| Business Address |
75 West St Danbury CT 06810-6528 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1971-10-12 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 143550 | CSP.0007605 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 75 WEST ST |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-6528 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason Gupit Velasco | 75 West St, Danbury, CT 06810 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Family and Children's Aid Inc | 75 West St, Danbury, CT 06810-6528 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Family & Children's Aid Supporting Foundation Inc. | 75 West St, Danbury, CT 06810-6528 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Nicole E Pace | 75 West St, Danbury, CT 06810-6528 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Family & Children's Aid Inc | 75 West St, Danbury, CT 06810-6528 | Homemaker Companion Agency | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Apex Community Care, Inc. | 85 West St, Danbury, CT 06810-6528 | Substance Abuse | 2020-01-01 ~ 2021-12-31 |
| Family & Children's Aid, Inc. | 87 West St, Danbury, CT 06810-6528 | Psychiatric Outpatient Clinic | 2017-04-25 ~ 2021-03-31 |
| Danbury Children First Inc | 83 West St, Danbury, CT 06810-6528 | Public Charity | 2016-06-01 ~ 2017-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eastern College Athletic Conference Inc | Matrix Corp Ctr 39 Old Ridgebury Rd, Danbury, CT 06810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Subway #36533 | 67 Newtown Rd, Danbury, CT 06810 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Natali Salome Teran | 27 Balmforth Ave 2, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Kristin Danielle Mehta | 33 Country View Road, Danbury, CT 06810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Zhane Gabrielle Cardenas | 40 Westville Avenue Apt 1, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2021-09-30 |
| Zhane E Willikinson | 30 Germantown Road Suite 117, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2022-03-31 |
| Michelle Dahlgren | 8 Stable Drive, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Asheree P Griffin | 14 New Town Road, Danbury, CT 06810 | Real Estate Salesperson | ~ |
| Tania Isabel Salazar | 20 Highland Avenue, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Gregory C Banks | Gregory Banks Counseling, LLC, Danbury, CT 06810 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DANBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle A Irvin | 1215 Greenmont Cr, Vienna, WV 26105 | Physician/surgeon | 1997-11-04 ~ 1998-10-31 |
| Bryan T Irvin | 1215 Greenmont Cir, Vienna, WV 26105 | Physician/surgeon | ~ 1998-08-31 |
| Irvin M Modlin | 11 Tulip Tree Ln, Woodbridge, CT 06525-1414 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Scott Irvin · Irvin Weld Works | 123 Tripp Rd, Ellington, CT 06029-3640 | Home Improvement Contractor | 2019-04-09 ~ 2019-11-30 |
| Jeffrey C Jennings Md | 97 Barnes Rd Ste 6, Wallingford, CT 06492-1885 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lasha Jaiani Md | 912 Jennings Rd, Fairfield, CT 06824-4630 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bettina A Fitzgerald | Va Outpatient Clinic, Jennings, LA 70546 | Physician/surgeon | 2003-03-17 ~ 2004-04-30 |
| Gary E Kleinman Md | 1492 Jennings Rd, Fairfield, CT 06824-4544 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Danna Jennings | 316 Washington Blvd, Half Moon Bay, CA 94019 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Jonathan E Irvin · Jonathan Irvin's Painting Landscaping | 8 Linda Ct, Groton, CT 06340-3809 | Home Improvement Contractor | 2008-01-11 ~ 2008-11-30 |
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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).