SHARI A JACKSON MD (Credential# 564556) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2014. The license expiration date date is August 31, 2015. The license status is INACTIVE.
SHARI A JACKSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046974. The credential type is physician/surgeon. The effective date is September 1, 2014. The expiration date is August 31, 2015. The business address is 420 East Main Street, Branford, CT 06405. The current status is inactive.
| Licensee Name | SHARI A JACKSON MD |
| Credential ID | 564556 |
| Credential Number | 1.046974 |
| Credential Type | Physician/Surgeon |
| Business Address |
420 East Main Street Branford CT 06405 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-09-09 |
| Effective Date | 2014-09-01 |
| Expiration Date | 2015-08-31 |
| Refresh Date | 2015-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 516867 | CSP.0044742 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-10-21 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 420 EAST MAIN STREET |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John D Michalak Dds | 420 East Main Street, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Murphy, Sloman & Company, LLC | 420 East Main Street, Branford, CT 06405 | Certified Public Accountant Firm Permit | 2010-01-01 ~ 2010-12-31 |
| Nicolino Valletta · Pasta Fair of Branford | 420 East Main Street, Branford, CT 06405 | Restaurant Liquor | 2006-10-15 ~ 2007-10-14 |
| Donald N. Mei | 420 East Main Street, Branford, CT 06405 | Certified Public Accountant Firm Permit | 2002-01-01 ~ 2002-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shari Damast Md | 41 Crane Rd N, Stamford, CT 06902-2505 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shari T Jawetz | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Shari M Storeygard Md | 27 Deepwood Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Shari Gamarnik | 4449 Maize Dr, Plano, TX 75093-3234 | Physician/surgeon | 2010-04-01 ~ 2010-10-31 |
| Loren Shari Greenberg | 5800 Arlington Ave Apt 5j, Bronx, NY 10471-1407 | Physician/surgeon | ~ |
| Shari M Roth | 81 Meadow Ridge, Avon, CT 06001 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Shari G Weisenfeld | 43 Red Barn Road, Trumbull, CT 06611 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Shari A Del Do | 3300 Cliffdale Road, Fayetteville, NC 28303 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Shari D Lurie | 23 Shoemaker Lane, Agawam, MA 01001 | Physician/surgeon | 2000-03-01 ~ 2000-11-30 |
| Shari L Taylor | 6655 N. Macarthur Blvd., Irving, TX 75039 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).