JEFFREY T STERN MD (Credential# 543692) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.
JEFFREY T STERN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021487. The credential type is physician/surgeon. The effective date is September 1, 2018. The expiration date is August 31, 2019. The business address is 51 Depot Street Ste #201, Watertown, CT 06795. The current status is inactive.
Licensee Name | JEFFREY T STERN MD |
Credential ID | 543692 |
Credential Number | 1.021487 |
Credential Type | Physician/Surgeon |
Business Address |
51 Depot Street Ste #201 Watertown CT 06795 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE |
Issue Date | 1979-06-19 |
Effective Date | 2018-09-01 |
Expiration Date | 2019-08-31 |
Refresh Date | 2019-12-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
147440 | CSP.0008957 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 51 DEPOT STREET STE #201 |
City | WATERTOWN |
State | CT |
Zip Code | 06795 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Taylor Mia Lundy | 265 Kimberly Ln, Watertown, CT 06795 | Registered Nurse | 2020-06-27 ~ 2020-11-30 |
Judith A Hill | 23 Malvern Hill Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Carol Mancini Dumond | 57 Bryant, Watertown, CT 06795 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
Michelle J Stankus | 119 Edge Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Linda Z Terenzo · Grella | 215 Claxton Ave., Watertown, CT 06795 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Egbrid T30 Pr 9358 | 856 Echo Lake Rd, Watertown, CT 06795 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
Ana L Guaman | 1278 Main Street Ste 4, Watertown, CT 06795 | Nail Technician | ~ |
Eric A Tymula | 727 Park Rd, Watertown, CT 06795 | Tattoo Technician | 2020-03-01 ~ 2022-02-28 |
Margaret A Chilson | 259 Litchfield Road, Watertown, CT 06795 | Massage Therapist | 2020-05-01 ~ 2022-04-30 |
Laura L Rock | 187 Georgetown Drive, Watertown, CT 06795 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Find all Licenses in zip 06795 |
City | WATERTOWN |
Zip Code | 06795 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WATERTOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey Stern | 2009 Summer St, Stamford, CT 06905-5023 | Physician/surgeon | 2020-03-09 ~ 2021-03-31 |
Aaron Stern | 53 Dingletown Rd, Greenwich, CT 06830 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
Harold Stern | 78 Ansonia Rd, Woodbridge, CT 06525-2502 | Physician/surgeon | 2009-04-16 ~ 2010-04-30 |
Peter Stern | 60 Ackerman Drive, Mahwah, NJ 07430 | Physician/surgeon | 2001-01-29 ~ 2002-02-28 |
Rohan A Stern | 72 Cook Hill Rd, Windsor, CT 06095-3153 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
Leonard Stern Md | 16 Bushy Ridge Rd, Westport, CT 06880 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Robert G Stern | 1245 Park Ave, New York, NY 10128 | Physician/surgeon | 1994-03-25 ~ 1995-05-31 |
Sandra P Boltax-stern | 78 Ansonia Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Bernard Stern | 3128 Palisade Ave, Riverdale, NY 10463 | Physician/surgeon | 1995-05-22 ~ 1996-05-31 |
Henry J Stern | 72 Roby Drive, Rochester, NY 14618 | Physician/surgeon | 1994-12-19 ~ 1996-02-29 |
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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).