SAMUEL JONES II (Credential# 1247443) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 8, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
SAMUEL JONES II is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058769. The credential type is controlled substance registration for practitioner. The effective date is April 8, 2019. The expiration date is February 28, 2021. The business address is 543 W 141st St, New York, NY 10031-7026. The current status is inactive.
| Licensee Name | SAMUEL JONES II |
| Credential ID | 1247443 |
| Credential Number | CSP.0058769 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
543 W 141st St New York NY 10031-7026 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2014-09-26 |
| Effective Date | 2019-04-08 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1240861 | 1.053539 | Physician/Surgeon | 2014-09-24 | 2018-06-01 - 2019-05-31 | INACTIVE |
| Street Address | 543 W 141ST ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10031-7026 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlin Anne Gallagher | 549a West 149th Street, New York, NY 10031 | Licensed Clinical Social Worker | ~ |
| Billy Emanuel Jones | 458 West 146th Street, New York, NY 10031 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Wilmaris Fernandez | 3r, New York, NY 10031 | Behavior Analyst | ~ |
| Mildred Gonzalez | 448 W. 153rd St. Apt #22, New York, NY 10031 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Charles K Kyei | 700 Riverside Drive, New York, NY 10031 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Patricia A Terry | 604 Riverside Dr., New York, NY 10031 | Tax Preparer/facilitator Permit | 2020-02-26 ~ 2022-02-28 |
| Joshua Paul Branham | 560 West 144th Street, New York, NY 10031 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Anna Larisa Lawyer Sunderland | 513 West 152nd Street, New York, NY 10031 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
| M N Alexa Donaphin | 464 West 144th St, New York, NY 10031 | Architect | 2019-08-01 ~ 2020-07-31 |
| Percy C Griffin | 423 West 144th Street, New York, NY 10031 | Architect | 2017-08-01 ~ 2018-07-31 |
| Find all Licenses in zip 10031 | |||
| City | NEW YORK |
| Zip Code | 10031 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy G Jones Bryant · Jones | Yale Univ Sch Med, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 1995-12-05 ~ 1997-02-28 |
| Samuel H Yun | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Samuel H Belok | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2013-09-13 ~ 2015-02-28 |
| Samuel D Madoff | 113 Canner St Apt 2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Samuel Jacob | 574 Central Ave Apt 3a, New Haven, CT 06515-2154 | Controlled Substance Registration for Practitioner | 2011-08-29 ~ 2013-02-28 |
| Samuel Kushlan Md | 655 Whitney Ave, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Samuel G Alpert Md | 7 Gregory Pwy#83, Syracuse, NY 13214 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Samuel Stevenson Jr | 5 Brook St, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Samuel L Belau | 42 Two Mile Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2006-07-31 ~ 2007-02-28 |
| Dias Samuel | 5 Stoneham Ln, New City, NY 10956-1112 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SAMUEL JONES II.
| 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).