JONATHAN A HAAS
Physician/surgeon


Address: 30 Middle Rd, Sands Point, NY 11050-2616

JONATHAN A HAAS (Credential# 561972) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.

Business Overview

JONATHAN A HAAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044390. The credential type is physician/surgeon. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 30 Middle Rd, Sands Point, NY 11050-2616. The current status is inactive.

Basic Information

Licensee Name JONATHAN A HAAS
Credential ID 561972
Credential Number 1.044390
Credential Type Physician/Surgeon
Business Address 30 Middle Rd
Sands Point
NY 11050-2616
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-05-24
Effective Date 2017-11-01
Expiration Date 2018-10-31
Refresh Date 2019-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
441778 CSP.0039365 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-06-21 2006-06-21 - 2007-02-28 INACTIVE

Office Location

Street Address 30 MIDDLE RD
City SANDS POINT
State NY
Zip Code 11050-2616

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City SANDS POINT
Zip Code 11050
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SANDS POINT

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Dataset Information

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).

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