JERRY J JABOIN MD (Credential# 968496) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.
JERRY J JABOIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049279. The credential type is physician/surgeon. The effective date is August 1, 2012. The expiration date is July 31, 2013. The business address is 24 Ladue Mnr, Saint Louis, MO 63124-1821. The current status is inactive.
| Licensee Name | JERRY J JABOIN MD |
| Credential ID | 968496 |
| Credential Number | 1.049279 |
| Credential Type | Physician/Surgeon |
| Business Address |
24 Ladue Mnr Saint Louis MO 63124-1821 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-10-12 |
| Effective Date | 2012-08-01 |
| Expiration Date | 2013-07-31 |
| Refresh Date | 2013-11-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 968297 | CSP.0049047 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-10-13 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 24 LADUE MNR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63124-1821 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grant M Warmouth | 40 Burroughs Lane, Saint Louis, MO 63124 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Cepia LLC | 121 Hunter Ave Suite 103, St Lous, MO 63124 | Manufacturer of Bedding & Upholstered Furniture | 2009-05-01 ~ 2010-04-30 |
| Sverdrup&parcel&assoc Inc | 11 Exmoor Dr, St Louis, MO 63124 | Professional Engineer | 1987-02-06 ~ 1988-01-31 |
| Margaret J Donovan | 9834 Old Warson Rd, St Louis, MO 63124 | Certified Public Accountant Certificate | ~ |
| Judith H Mckelvey | 9861 Copper Hill Rd, St Louis, MO 63124 | Physician/surgeon | 2003-05-27 ~ 2004-06-30 |
| Mccarthy Building Companies Inc | 1341 N Rock Hill Rd, Saint Louis, MO 63124-1441 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Natalie A Dewitt | 1 Indian Hl, Saint Louis, MO 63124-1516 | Emergency Medical Technician | 2019-07-31 ~ 2022-06-30 |
| Patricia L Foster | 34 Fair Oaks Dr, Saint Louis, MO 63124-1563 | Registered Nurse | 2017-01-01 ~ 2017-12-31 |
| Christopher M Murphy | 17 Pine Valley Dr, Saint Louis, MO 63124-1652 | Professional Engineer | 2015-02-01 ~ 2016-01-31 |
| Douglas W Rusnack Md | 12 Edgewood Rd, Saint Louis, MO 63124-1817 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Find all Licenses in zip 63124 | |||
| City | SAINT LOUIS |
| Zip Code | 63124 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAINT LOUIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jerry L Greenburg | 456 Water St, Celebration, FL 34747-4977 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jerry Harwood Md | 51 Forest Ave No. 105, Old Greenwich, CT 06870 | Physician/surgeon | 1998-06-29 ~ 1999-06-30 |
| Jerry D Ballard | 165 Jeffrey Lane, Springfield, MA 01089 | Physician/surgeon | 1995-06-12 ~ 1996-07-31 |
| Jerry Sheen | 510-3d Auten Road, Hillsborough, NJ 08844 | Physician/surgeon | 2004-12-13 ~ 2005-03-31 |
| Jerry J Thomas | 1065 Us Highway 22 Ste 3d, Bridgewater, NJ 08807-2949 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
| Jerry Goldfarb Md | 30 Brodwood Drive, Stamford, CT 06902 | Physician/surgeon | 1999-08-26 ~ 2000-08-31 |
| H Paul Winalski Md | 186 Jerry Browne Road, Mystic, CT 06355 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Ann-jerry Peters | 4996 Taylor Way, El Dorado Hills, CA 95762-7531 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
| Maria L Webster | 6112 Jerry's Drive, Columbia, MD 21044 | Physician/surgeon | 2003-11-17 ~ 2004-11-30 |
| James N Worcester | 186 Jerry Browne Road, Mystic, CT 06355 | Physician/surgeon | 2006-09-05 ~ 2007-07-31 |
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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).