JONATHAN MOSOVICH (Credential# 564119) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JONATHAN MOSOVICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046537. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 22 Old Waterbury Rd Ste 201, Southbury, CT 06488-3848. The current status is active.
Licensee Name | JONATHAN MOSOVICH |
Credential ID | 564119 |
Credential Number | 1.046537 |
Credential Type | Physician/Surgeon |
Business Address |
22 Old Waterbury Rd Ste 201 Southbury CT 06488-3848 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2008-05-15 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-02-25 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
404415 | CSP.0037434 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-05-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 22 OLD WATERBURY RD STE 201 |
City | SOUTHBURY |
State | CT |
Zip Code | 06488-3848 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Harvey M Kramer | 22 Old Waterbury Rd, Southbury, CT 06488-3848 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
The Eye Care Group P.C. | 22 Old Waterbury Rd, Southbury, CT 06488-3848 | Optical Selling Permit | 2019-09-01 ~ 2020-08-31 |
Susan Beris | 22 Old Waterbury Rd, Southbury, CT 06488-3848 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Casey Ott | 22 Old Waterbury Rd, Southbury, CT 06488-3848 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06488 |
City | SOUTHBURY |
Zip Code | 06488 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SOUTHBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan Edward Scott | CT | Physician/surgeon | ~ |
Jonathan Ek | 306 W Griggs #209, Urbana, IL 61801 | Physician/surgeon | ~ |
Jonathan Y Ko | Po Box 180, Goshen, CT 06756-0180 | Physician/surgeon | 2009-06-09 ~ 2014-04-30 |
Jonathan Goldstein | 513 Rio Grande Ave, Santa Fe, NM 87501-1311 | Physician/surgeon | ~ |
Jonathan Bernstein | 558 Dickens Dr, Hummelstown, PA 17036 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Jonathan D Gates | 3 Olcott Way, Farmington, CT 06032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Jonathan Harding | 705 Mt. Auburn St., Watertown, MA 02472 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Jonathan Ringo | 22 Lafayette Dr, Woodmere, NY 11598-1031 | Physician/surgeon | 2013-02-28 ~ 2013-11-30 |
Jonathan Matthew Vigdorchik | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
Jonathan L Chasen Md | 236 Crestview Cir, Longmeadow, MA 01106 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).