JAHAN J MONTAGUE MD (Credential# 559969) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 12, 2007. The license expiration date date is March 31, 2008. The license status is INACTIVE.
JAHAN J MONTAGUE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042387. The credential type is physician/surgeon. The effective date is March 12, 2007. The expiration date is March 31, 2008. The business address is 55 Lake Ave N, Worcester, MA 01655. The current status is inactive.
| Licensee Name | JAHAN J MONTAGUE MD |
| Credential ID | 559969 |
| Credential Number | 1.042387 |
| Credential Type | Physician/Surgeon |
| Business Address |
55 Lake Ave N Worcester MA 01655 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-05-04 |
| Effective Date | 2007-03-12 |
| Expiration Date | 2008-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 401054 | CSP.0037282 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-04-14 | 2007-03-12 - 2008-02-29 | INACTIVE |
| Street Address | 55 LAKE AVE N |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nils Henninger | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Wiley R Hall | 55 Lake Ave N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susanne Muehlschlegel Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Adalia H. Jun-o'connell | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Leslie J Domalik | 55 Lake Ave N, Worcester, MA 01655-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raphael A Carandang Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Daniel J Weber | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Shirin Haddady Md | 55 Lake Ave N, Worcester, MA 01655 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Craig Smith Md | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mira Torres Md | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolina Ionete | 55 Lake Avenue, Worcester, MA 01655 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas J Fitzgerald | 55 Lake Ave, N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Majaz Moonis Md | Umassmemorial Health Care, Neurology, 55 Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ari Wilkenfeld | Neurology Department � 5th Floor, Worcester, MA 01655 | Physician/surgeon | ~ |
| Kate Daniello | 55 N Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian Silver | 55 Lake Avenue North, Worcester, MA 01655 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Andrew Bouley | Umass Memorial, Department of Neurology, Worcester, MA 01655 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Cheryl A Laflamme Aprn | 58 Bentwood Dr, Sturbridge, MA 01655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence S Rosenthal Md | Umass Memorial Medical Center, Worcester, MA 01655 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Daniel Z Fisher Md | 55 Lake Ave North, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in zip 01655 | |||
| City | WORCESTER |
| Zip Code | 01655 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jahan Q Zeb | 2525 Barron Rd, Poplar Bluff, MO 63901-1913 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Etminan Jahan LLC | 2620 S Dupont Blvd, Smyrna, DE 19977-1822 | Home Improvement Contractor | 2014-02-21 ~ 2014-11-30 |
| Tammy T. Tuchman | 105 Montague St Apt 601, Brooklyn, NY 11201-3436 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Mathew Lefkowitz | 185 Montague Street, Brooklyn, NY 11201 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Sharwat Jahan | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| David R Montague II · D R Montague Landscaping Service | 563 Elm St, Monroe, CT 06468 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Montague & Co. Cpa, LLC | 839 Albany Ave., Hartford, CT 06112 | Certified Public Accountant Firm Permit | 2017-01-01 ~ 2017-12-31 |
| Lawrence F Montague | Lawrence F. Montague, Fairfield, CT 06824 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Montague Property Management LLC | 41 Henderson Dr, East Hartford, CT 06108-1813 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Sifat Jahan | 985 Fairfield Ave Apt C4, Bridgeport, CT 06605-1160 | Pharmacy Technician | 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).