JASON S HENDERSON D O (Credential# 558463) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 3, 2002. The license expiration date date is August 31, 2003. The license status is INACTIVE.
JASON S HENDERSON D O is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040880-DO. The credential type is physician/surgeon. The effective date is October 3, 2002. The expiration date is August 31, 2003. The business address is 4 Farm Dr, Farmington, CT 06032. The current status is inactive.
| Licensee Name | JASON S HENDERSON D O |
| Credential ID | 558463 |
| Credential Number | 1.040880-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
4 Farm Dr Farmington CT 06032 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - PRIOR DISCIPLINE |
| Issue Date | 2002-10-03 |
| Effective Date | 2002-10-03 |
| Expiration Date | 2003-08-31 |
| Refresh Date | 2009-07-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 322536 | CSP.0032867 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-10-21 - 2003-02-28 | INACTIVE |
| Street Address | 4 FARM DR |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Galen M Eversole | R & R Md, Henderson, NV 89074 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
| Cynthia B Malixi | 267 Buckskin St, Henderson, NV 89014 | Physician/surgeon | 1995-11-16 ~ 1996-10-31 |
| Kimberly J Henderson | 24 State Rte. 727, Ansonia, CT 06401 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| John R. Wohlwend | 12 Sankaty Cir, Henderson, NV 89052-6670 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Micheal P Henderson Md | 281 Willow St, New Haven, CT 06511 | Physician/surgeon | 2004-04-30 ~ 2005-04-30 |
| Richard L Penfil | 2207 Versailles Ct., Henderson, NV 89074 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Ching-yi Yu | 2313 Rosendale Village Ave, Henderson, NV 89052-8731 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| David D Henderson | 135 Town St, East Haddam, CT 06423-1458 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Stephen E Solomon | 99 Callaway Circle, Henderson, NV 89074 | Physician/surgeon | 2012-02-06 ~ 2012-10-31 |
| Rajesh C Shrotriya | 5 Highland Creek Dr, Henderson, NV 89052-6612 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).