GRACE M JERE MD (Credential# 561196) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 17, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.
GRACE M JERE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043614. The credential type is physician/surgeon. The effective date is January 17, 2006. The expiration date is February 28, 2007. The business address is 12 Bailey Rd, Middletown, CT 06457. The current status is inactive.
| Licensee Name | GRACE M JERE MD |
| Credential ID | 561196 |
| Credential Number | 1.043614 |
| Credential Type | Physician/Surgeon |
| Business Address |
12 Bailey Rd Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-07-05 |
| Effective Date | 2006-01-17 |
| Expiration Date | 2007-02-28 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 410238 | CSP.0037780 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-07-13 | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 12 BAILEY RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jere T Licciardello | 400 Berywood Tr., Cleveland, TN 37312 | Physician/surgeon | 2005-09-30 ~ 2006-10-31 |
| Grace Cha | 38 Ward St Apt 5, Middletown, CT 06457-4185 | Physician/surgeon | ~ |
| Grace P Kim Md | 169 Cheesespring Rd, Wilton, CT 06897-2308 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Grace S Lee | 27 Stacey Ln, Madison, CT 06443-2465 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Grace K Suh Md | 641 Whitney Ave 2c, New Haven, CT 06511-2253 | Physician/surgeon | 2007-01-18 ~ 2008-03-31 |
| Grace H Lee | 631 East 6th Street, Hinsdale, IL 60521 | Physician/surgeon | 2009-05-26 ~ 2010-07-31 |
| Grace M Steere | 12 Tallwood Rd, Woodbridge, CT 06525 | Physician/surgeon | 2000-12-01 ~ 2001-09-25 |
| Grace Jenq Md | 55 Hickory Rd, Woodbridge, CT 06525 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Grace K Mandigo | 2150 Broadway # 126, New York, NY 10023-8255 | Physician/surgeon | ~ |
| Jaspreet S. Joneja | 14 Grace Dr, Old Westbury, NY 11568-1221 | Physician/surgeon | 2011-04-06 ~ 2011-12-31 |
Please comment or provide details below to improve the information on GRACE M JERE MD.
| 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).