JAN ZISLIS MD (Credential# 556685) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JAN ZISLIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039097. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 5 Perryridge Road, Greenwich, CT 06830. The current status is active.
| Licensee Name | JAN ZISLIS MD |
| Credential ID | 556685 |
| Credential Number | 1.039097 |
| Credential Type | Physician/Surgeon |
| Business Address |
5 Perryridge Road Greenwich CT 06830 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-11-06 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 250074 | CSP.0030314 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-12-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 5 PERRYRIDGE ROAD |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deepa Jansen | 5 Perryridge Road, Greenwich, CT 06830 | Resident Physician | 2019-06-24 ~ 2022-06-27 |
| Ginamarie Papia | 5 Perryridge Road, Greenwich, CT 06830 | Resident Physician | 2019-06-24 ~ 2022-06-27 |
| Ju Young Bae | 5 Perryridge Road, Greenwich, CT 06830 | Resident Physician | 2019-06-24 ~ 2022-06-27 |
| Michael Foti | 5 Perryridge Road, Greenwich, CT 06830 | Resident Physician | 2019-06-24 ~ 2022-06-27 |
| Waqas Salam | 5 Perryridge Road, Greenwich, CT 06830 | Resident Physician | 2019-06-24 ~ 2022-06-27 |
| Romelle J Maloney | 5 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kristin T Hsieh | 5 Perryridge Road, Greenwich, CT 06830 | Resident Physician | 2020-06-22 ~ 2021-06-28 |
| Fatema S Esaa | 5 Perryridge Road, Greenwich, CT 06830 | Resident Physician | 2020-06-22 ~ 2021-06-28 |
| Eunjin Park | 5 Perryridge Road, Greenwich, CT 06831 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jeremy B Barowsky | 5 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
| Michele S Bergen | Greenwich Medical Building, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Find all Licenses in zip 06830 | |||
| City | GREENWICH |
| Zip Code | 06830 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GREENWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward Zislis | 456 Glenbrook Road, Stamford, CT 06906 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Edward Zislis · Rodizio Grill of Stamford | 5 Broad St, Stamford, CT 06901-2309 | Restaurant Liquor | 2013-03-01 ~ 2014-02-28 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
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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).