JEFFREY T PAN MD (Credential# 564153) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JEFFREY T PAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046571. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 41 Ironwood Rd, Guilford, CT 06437. The current status is active.
| Licensee Name | JEFFREY T PAN MD |
| Credential ID | 564153 |
| Credential Number | 1.046571 |
| Credential Type | Physician/Surgeon |
| Business Address |
41 Ironwood Rd Guilford CT 06437 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-05-27 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 506313 | CSP.0043700 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-06-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 41 Ironwood Rd |
| City | Guilford |
| State | CT |
| Zip Code | 06437 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 66 High Street Guilford LLC | 41 Ironwood Rd, Guilford, CT 06437-4715 | New Home Construction Contractor | 2019-10-01 ~ 2021-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | Guilford |
| Zip Code | 06437 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Guilford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey J Lim | P O Box 158, Guymon, OK 73942-0158 | Physician/surgeon | 1998-03-30 ~ 1999-04-30 |
| Jeffrey E Epstein | 25 Glenbrook Rd, Stamford, CT 06902-2871 | Physician/surgeon | ~ |
| Jeffrey Kwan | 118 Heather Dr, Atherton, CA 94027-2120 | Physician/surgeon | ~ |
| Jeffrey Begleiter Md | Po Box 306, Canton, CT 06019-0306 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jeffrey B Howe | P O Box 366, Eastford, CT 06242 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Jeffrey Y Ngeow | 535 E 70 St, New York, NY 10021 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
| Jeffrey D Rosen | P.o. Box 558, Ludlow, VT 05149 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
| Jeffrey L Bobrowitz | 86 Valleywood Rd, Cos Cob, CT 06807-2321 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Jeffrey T Hal | 500 Westover Dr #87631, Sanford, NC 27330 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jeffrey L Creasy | 209 Key Court, Brentwood, TN 37027 | Physician/surgeon | 2010-11-01 ~ 2011-11-30 |
Please comment or provide details below to improve the information on JEFFREY T PAN 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).