JEROME H TAYLOR JR (Credential# 1174139) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.
JEROME H TAYLOR JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052425. The credential type is physician/surgeon. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is 3939 Pine St Apt 3f, Philadelphia, PA 19104-4191. The current status is inactive.
| Licensee Name | JEROME H TAYLOR JR |
| Credential ID | 1174139 |
| Credential Number | 1.052425 |
| Credential Type | Physician/Surgeon |
| Business Address |
3939 Pine St Apt 3f Philadelphia PA 19104-4191 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-09-18 |
| Effective Date | 2018-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1187811 | CSP.0056237 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-10-03 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 3939 PINE ST APT 3F |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4191 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinodh Pillai | Hospital of The University of Pennsylvania, Philadelphia, PA 19104 | Physician/surgeon | 2020-03-03 ~ 2021-03-31 |
| Adam Bagg | Hosp of The Univ of Pa, Philadelphia, PA 19104 | Physician/surgeon | 2020-02-21 ~ 2020-12-31 |
| Jeffrey D Alexander | 3943 Haverford Ave, Philadelphia, PA 19104 | Landscape Architect | 2019-11-18 ~ 2020-07-31 |
| Asaki Toda | 404 S. 45th St., Philadelphia, PA 19104 | Registered Nurse | 2018-06-11 ~ 2018-11-30 |
| Pratik Pramod Bahekar | 3535 Market St, Philadelphia, PA 19104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rachel E Oristano | 410 N 33rd St Apt D, Philadelphia, PA 19104 | Naturopathic Physician | 2019-02-01 ~ 2020-01-31 |
| Lawrence A Maayan | Chop, Philadelphia, PA 19104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zhonghua Li | 3400 Spruce Street, Philadelphia, PA 19104 | Physician/surgeon | 2017-05-01 ~ 2018-04-30 |
| Spark Therapeutics, Inc. · N/a | 3737 Market Street, Ste 1300, Philadephia, PA 19104 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2018-01-30 ~ |
| Philadelphia Health & Education Corporation | 3201 Arch St, Suite 420, Philadelphia, PA 19104 | Public Charity-exempt From Financial Requirements | ~ |
| Find all Licenses in zip 19104 | |||
| City | PHILADELPHIA |
| Zip Code | 19104 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PHILADELPHIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jerome M Auerbach Md | 610 North St, Pittsfield, MA 01201 | Physician/surgeon | 2006-09-19 ~ 2007-10-31 |
| Jerome M Shevell | 51 Aberfoyle Rd, New Rochelle, NY 10804 | Physician/surgeon | 1996-02-14 ~ 1997-04-30 |
| Michel Paley | 36 Jerome Ave, New Rochelle, NY 10804-3804 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| Jerome A Logan | First Health, Scottsdale, AZ 85251-1223 | Physician/surgeon | 1999-10-13 ~ 2000-12-31 |
| Jerome J Klein Md | 40 Cross Street, Norwalk, CT 06851 | Physician/surgeon | 2008-01-31 ~ 2009-03-31 |
| Peter A Selwyn | 3544 Jerome Ave Fl 2, Bronx, NY 10467-1005 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jerome Barton | 64 Terra Nova Cir, Westport, CT 06880-4749 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jerome Ennis | 128 Knibloe Hill Rd, Sharon, CT 06069 | Physician/surgeon | 2007-10-22 ~ 2008-10-31 |
| Jerome A Molitor | 19 Brown Court, Chester, NJ 07930 | Physician/surgeon | 2009-06-26 ~ 2010-08-31 |
| Jerome Frazier | 4865 Las Alturas Dr, Las Cruces, NM 88011-7500 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
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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).