JONATHAN D BLACK (Credential# 951809) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
JONATHAN D BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048721. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 120 Knollwood Dr, New Haven, CT 06515-2459. The current status is lapsed.
| Licensee Name | JONATHAN D BLACK |
| Credential ID | 951809 |
| Credential Number | CSP.0048721 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
120 Knollwood Dr New Haven CT 06515-2459 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2010-10-04 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1220015 | 1.053138 | Physician/Surgeon | 2014-06-10 | 2016-10-01 - 2017-09-30 | INACTIVE |
| Street Address | 120 KNOLLWOOD DR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-2459 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joshua J Brant | 104 Knollwood Dr, New Haven, CT 06515-2459 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
| Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
| Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06515 | |||
| City | NEW HAVEN |
| Zip Code | 06515 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William Harless | 100 Black Rock Lighthouse Road, Black Rock, NS B1X 2A3 | Controlled Substance Registration for Practitioner | 2019-05-07 ~ 2021-02-28 |
| Jonathan L Nelson Md | 33 Cedar St Ste 6, Rye, NY 10580-2031 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jonathan P Shepherd | 219 Elm St, Swissvale, PA 15218-1517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan T Orr | 37 Ridge Rd, Danbury, CT 06810-6362 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan Uhl | 227 Coppermine Rd, Unionville, CT 06085-1528 | Controlled Substance Registration for Practitioner | 2020-03-10 ~ 2021-02-28 |
| John T Moeller | 4 Jonathan Dr, Ellington, CT 06029-3885 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jonathan C Harland Md | 865 Mix Avenue, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jonathan Finegold | 73 Market St, Yonkers, NY 10710-7616 | Controlled Substance Registration for Practitioner | 2019-01-02 ~ 2021-02-28 |
| Jonathan C Goldweitz Md | 32 Bouton St E, Stamford, CT 06907-1651 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jonathan Foster | 227 W 77th St Apt 15c, New York, NY 10024-6786 | Controlled Substance Registration for Practitioner | 2019-04-25 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JONATHAN D BLACK.
| 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).