JED E BLACK (Credential# 548762) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 24, 1992. The license expiration date date is February 28, 1993. The license status is INACTIVE.
JED E BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030875. The credential type is physician/surgeon. The effective date is March 24, 1992. The expiration date is February 28, 1993. The business address is 200 Evergreen Ave, Hamden, CT 06518. The current status is inactive.
| Licensee Name | JED E BLACK |
| Credential ID | 548762 |
| Credential Number | 1.030875 |
| Credential Type | Physician/Surgeon |
| Business Address |
200 Evergreen Ave Hamden CT 06518 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1990-07-01 |
| Effective Date | 1992-03-24 |
| Expiration Date | 1993-02-28 |
| Refresh Date | 2009-07-08 |
| Street Address | 200 EVERGREEN AVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Margaret M Prunier | 200 Evergreen Ave, Hamden, CT 06518 | Emergency Medical Technician | 2018-10-01 ~ 2021-09-30 |
| Nancy K Linden | 200 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jenneifer Veronica Campbell | 200 Evergreen Ave, Hamden, CT 06518-2406 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
| Kevin Chen | 200 Evergreen Ave, Hamden, CT 06518-2742 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Donald C Kelly | 200 Evergreen Ave, Hamden, CT 06518 | Physical Therapist | 1999-04-16 ~ 2000-06-30 |
| Connor James Halloran | 200 Evergreen Ave, Hamden, CT 06518 | Emergency Medical Technician | ~ |
| James A Gormley | 200 Evergreen Ave, Hamden, CT 06518 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert D Black Md | 330 Blake Cir, Hamden, CT 06517 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard H Dyer Jr | 306 Black Rock Rd, Watertown, CT 06795-1417 | Physician/surgeon | 2010-07-01 ~ 2011-06-30 |
| Elyse R. Erlich | 18 Black Birch Ln, Scarsdale, NY 10583-7455 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Aftab A Awan | 56 Black Rock Ave, Apt 1, New Britain, CT 06052 | Physician/surgeon | 2000-06-01 ~ 2001-06-30 |
| Debra L Gerson | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Dalliah M Black Md | Department of Surgery, New Haven, CT 06520 | Physician/surgeon | 2007-08-21 ~ 2008-09-30 |
| Laura Black | 26 Burlington Road, Unionville, CT 06085 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dan C Omohundro | 2371 Black Rock Tpk, Fairfield, CT 06432 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Robert L Plansky | 39 Black Twig Pl, Stamford, CT 06903-1835 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Jerilyn S Allen Md | 220 Old Black Point Rd, Niantic, CT 06357 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).