JEREMY D KAUFMAN MD (Credential# 564287) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JEREMY D KAUFMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046705. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 160 Hawley Ln, Trumbull, CT 06611-5300. The current status is active.
| Licensee Name | JEREMY D KAUFMAN MD |
| Credential ID | 564287 |
| Credential Number | 1.046705 |
| Credential Type | Physician/Surgeon |
| Business Address |
160 Hawley Ln Trumbull CT 06611-5300 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-06-25 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 500366 | CSP.0043371 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-07-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 160 HAWLEY LN |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-5300 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward B Paraiso II | 160 Hawley Ln, Trumbull, CT 06611-5300 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Deirdre Cannon | 160 Hawley Ln, Trumbull, CT 06611-5300 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Nicholas A Viner Md | 160 Hawley Ln, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Howard L Zuckerman Md | 160 Hawley Ln, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen Debra Matteson | 160 Hawley Ln, Trumbull, CT 06611-5300 | Physician Assistant | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allen M Kaufman | 15 E 26th St Apt 13e, New York, NY 10010-1445 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
| Michael J Kaufman | 37 Osborn Lane, Monroe, CT 06468 | Physician/surgeon | 2000-07-05 ~ 2001-06-30 |
| Mitchell H Kaufman | 130 Maple Street, Springfield, MA 01103 | Physician/surgeon | 1995-11-13 ~ 1997-01-31 |
| Jennifer Kaufman Md | 116 Morgan Street, Stamford, CT 06905 | Physician/surgeon | 1999-07-02 ~ 2000-05-31 |
| Richard E Kaufman | 960 Main Street, Branford, CT 06405 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Joel Kaufman | 3321 Medical Park Rd, Columbia, SC 29203-6805 | Physician/surgeon | ~ 1981-11-30 |
| Ronald P Kaufman | 12901 Bruce B Downs, Tampa, FL 33612 | Physician/surgeon | 2002-10-01 ~ 2003-11-30 |
| Bruce R Kaufman · Kaufman Remodeling | 390 Winchester Road, Winsted, CT 06098 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Jeremy J. Moeller | 39 Dawes Ave, Hamden, CT 06517 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Jeremy S Isaacson | 123 Old Mountain Rd, Farmington, CT 06032-1746 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
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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).