JACOB C NAFZIGER (Credential# 1298051) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JACOB C NAFZIGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060909. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 49 Lake Dr S, New Fairfield, CT 06812-3510. The current status is active.
| Licensee Name | JACOB C NAFZIGER |
| Credential ID | 1298051 |
| Credential Number | CSP.0060909 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
49 Lake Dr S New Fairfield CT 06812-3510 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-07-06 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1261505 | 1.054050 | Physician/Surgeon | 2015-04-21 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 49 LAKE DR S |
| City | NEW FAIRFIELD |
| State | CT |
| Zip Code | 06812-3510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ian W Mcdonough | 69 Lake Dr S, New Fairfield, CT 06812-3510 | Advanced Emergency Medical Technician | 2010-04-13 ~ 2013-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Pepin | 16 Cloverleaf Drive, New Fairfield, CT 06812 | Notary Public Appointment | ~ |
| Antoinett L Crawford | 60 Beaver Bog, New Fairfield, CT 06812 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Goodie Shoppe LLC (the) | 1 Brush Hill Rd, New Fairfield, CT 06812 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Jeffrey R Logel · Fairwood Wine & Liquor | 17 Route 39 Shaw's Plaza, New Fairfield, CT 06812 | Package Store Liquor | 2020-08-11 ~ 2021-08-10 |
| Joseph G Dimyan | 1 Lloyd Avenue, New Fairfield, CT 06812 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Melanie Porter | 2 High Trail Ci Rd, New Fairfield, CT 06812 | Behavior Analyst | 2020-07-01 ~ 2021-06-30 |
| Dara E O'toole | 15 Muller Street, New Fairfield, CT 06812 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Anita Michelle Thompson | 15 Bauer Road, New Fairfield, CT 06812 | Registered Nurse | ~ |
| Maureen Salerno · Schully | 4 Old Orchard Road, New Fairfield, CT 06812 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| John N Devito IIi IIi | 9 Cloverleaf Drive, New Fairfield, CT 06812 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06812 | |||
| City | NEW FAIRFIELD |
| Zip Code | 06812 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacob J Rauchwerger Md | 334 Marlborough Rd, Cedarhurst, NY 11516-1113 | Controlled Substance Registration for Practitioner | 2009-03-02 ~ 2011-02-28 |
| Dexter D Jacob | 129 York St Apt 5a, New Haven, CT 06511-5605 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jacob Eisdorfer | 96 Schermerhorn St Apt 10f, Brooklyn, NY 11201-5047 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jacob P Hauptman Pa-c | 244 Edwards St Apt 5, New Haven, CT 06511-3732 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jacob D Siegel | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Seby Jacob | 140 Prospect Ave Apt 8e, Hackensack, NJ 07601-2248 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jacob V Deno | 207 George St Apt 435, Middletown, CT 06457-6700 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jacob C Wood | 10 Farmhill Dr, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jacob I Hentel Md | 122 Ridgeview Rd, Poughkeepsie, NY 12603-4264 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Tessie K Jacob | 469 Migeon Ave, Torrington, CT 06790-4643 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JACOB C NAFZIGER.
| 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).