JONATHAN M GLICK MD (Credential# 996990) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
JONATHAN M GLICK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050092. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 221 Trumbull St, Hartford, CT 06103. The current status is inactive.
| Licensee Name | JONATHAN M GLICK MD |
| Credential ID | 996990 |
| Credential Number | CSP.0050092 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
221 Trumbull St Hartford CT 06103 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-05-13 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 987722 | 1.049741 | Physician/Surgeon | 2011-04-15 | 2013-03-01 - 2014-02-28 | INACTIVE |
| Street Address | 221 Trumbull St |
| City | Hartford |
| State | CT |
| Zip Code | 06103 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ji Ae Yoon | 221 Trumbull St, Hartford, CT 06103-1500 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Usma Khan | 221 Trumbull St, Hartford, CT 06103-1500 | Pharmacy Intern | 2014-08-29 ~ 2017-09-30 |
| Ryan T Elwell | 221 Trumbull St, Hartford, CT 06103-1500 | Emergency Medical Technician | 2014-07-31 ~ 2017-07-01 |
| Allison Cohen | 221 Trumbull St, Hartford, CT 06103-1500 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nikhil Kapila | 221 Trumbull St, Hartford, CT 06103-1511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Amir Shamshirsaz | 221 Trumbull St, Hartford, CT 06103-1500 | Controlled Substance Registration for Practitioner | 2011-07-24 ~ 2013-02-28 |
| Aaron D Lewis | 221 Trumbull St, Hartford, CT 06103-1500 | Home Improvement Contractor | 1996-02-09 ~ 1996-11-30 |
| Taylor Anne Riepe | 221 Trumbull St, Hartford, CT 06103 | Master's Level Social Worker | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sutherland Pinot Noir | Connecicut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2020-09-01 ~ 2023-08-30 |
| Subway of Union Station Hartford | 1 Union Pl, Hartford, CT 06103 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Subway of Main St | 493 Main St, Hartford, CT 06103 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Subway of Downtown Hartford | 65 Asylum St, Hartford, CT 06103 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Alba Lucia Correa Ortiz | 427 Church St, Hartford, CT 06103 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jeffrey L Cohen | One State St., Hartford, CT 06103 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas Kim | 111 Pearl Street #515, Hartford, CT 06103 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Christina Dorry | 915 Main St Apt 602, Hartford, CT 06103 | Barber | 2020-09-01 ~ 2022-08-31 |
| 360 Mango Flavored Vodka | Connecticut Brand Reigstration, Hartford, CT 06103 | Liquor Brand Label | 2020-08-02 ~ 2023-07-31 |
| Margarita Toro · Bashners Market | 1293 Main St, Hartford, CT 06103 | Package Store Liquor | 2020-07-26 ~ 2021-07-25 |
| Find all Licenses in zip 06103 | |||
| City | Hartford |
| Zip Code | 06103 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen M Glick | 41 Great Oak Farm Rd, Monroe, CT 06468-1298 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren S Glick | 199 Main Street, Townsend, MA 01469 | Controlled Substance Registration for Practitioner | 1995-08-18 ~ 1997-02-28 |
| Amy Glick | 1159 Avon Blvd, Cheshire, CT 06410-3605 | 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 |
| 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 T Orr | 37 Ridge Rd, Danbury, CT 06810-6362 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan P Shepherd | 219 Elm St, Swissvale, PA 15218-1517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan Lopresti | 98 Severna Ave, Springfield, NJ 07081-1134 | Controlled Substance Registration for Practitioner | 2019-10-23 ~ 2021-02-28 |
| Jonathan S Siegfried | 46 Prince St Ste 310, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 M GLICK 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).