BETSY JACOBS (Credential# 1162162) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2018. The license expiration date date is October 31, 2019. The license status is INACTIVE.
BETSY JACOBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052093. The credential type is physician/surgeon. The effective date is November 1, 2018. The expiration date is October 31, 2019. The business address is 33 Patton Blvd, New Hyde Park, NY 11040-1724. The current status is inactive.
Licensee Name | BETSY JACOBS |
Credential ID | 1162162 |
Credential Number | 1.052093 |
Credential Type | Physician/Surgeon |
Business Address |
33 Patton Blvd New Hyde Park NY 11040-1724 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2013-06-03 |
Effective Date | 2018-11-01 |
Expiration Date | 2019-10-31 |
Refresh Date | 2020-02-03 |
Street Address | 33 PATTON BLVD |
City | NEW HYDE PARK |
State | NY |
Zip Code | 11040-1724 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hibah Aijaz | 54 Herbert Drive, New Hyde Park, NY 11040 | Physician/surgeon | 2018-12-03 ~ 2019-12-31 |
Anna Marie Jardine · Harvey | 39 Flag Lane, New Hyde Park, NY 11040 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Bruce H Safran | 2101 Royal Court, North Hills, NY 11040 | Dentist | 2020-07-01 ~ 2021-06-30 |
Roy B Cohen | 105 Elm La, New Hyde Park, NY 11040 | Optometrist | 2020-04-01 ~ 2021-03-31 |
Poko Management Corp | 2417 Jericho Tpke, New Hyde Park, NY 11040 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Michael A. Bianco | 50 Rose Place, Garden City Park, NY 11040 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Ananthakumar Thillainathan | 5 Camden Place, Newhydepark, NY 11040 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Deborah J Dolan | 1106 Jericho Tpke, New Hyde Park, NY 11040 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Gracemon Kuriakose | 1042 Hillside Blvd, New Hyde Park, NY 11040 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Johnson D Daniel | 121 South 9th Street, New Hyde Park, NY 11040 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
Find all Licenses in zip 11040 |
City | NEW HYDE PARK |
Zip Code | 11040 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HYDE PARK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Betsy J Bronson | P.o. Box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
Jessica F Berkowitz | 115 Betsy Brown Road, Portchester, NY 10573 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Betsy K Luka, Md | Community Health Center Inc, Middletown, CT 06457 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
Michael I Jacobs | 407 E 70th St, New York, NY 10021 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
Jessica P Jacobs Md | 83 Clinton St, Gouverneur, NY 13642-1039 | Physician/surgeon | 2010-06-15 ~ 2011-03-31 |
Helene R Jacobs | 706 Eleventh Ave, Huntington, WV 25701 | Physician/surgeon | 1996-11-18 ~ 1997-10-31 |
Larry E. Jacobs | 234 Fountain St, New Haven, CT 06515-1915 | Physician/surgeon | 1985-07-29 ~ 1987-12-31 |
Samuel Jacobs | 21 E Lake Cir, Medford, NJ 08055-3440 | Physician/surgeon | 1988-05-13 ~ 1990-12-31 |
Lloydine J Jacobs | 110 E. Ridgewood Ave, Paramus, NJ 07652 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
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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).