JEFFREY L MARTIN (Credential# 1364665) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2017. The license expiration date date is August 31, 2018. The license status is INACTIVE.
JEFFREY L MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056814. The credential type is physician/surgeon. The effective date is August 1, 2017. The expiration date is August 31, 2018. The business address is 260 E Main St Ste 201, Smithtown, NY 11787-2925. The current status is inactive.
Licensee Name | JEFFREY L MARTIN |
Credential ID | 1364665 |
Credential Number | 1.056814 |
Credential Type | Physician/Surgeon |
Business Address |
260 E Main St Ste 201 Smithtown NY 11787-2925 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2017-08-01 |
Effective Date | 2017-08-01 |
Expiration Date | 2018-08-31 |
Refresh Date | 2018-12-04 |
Street Address | 260 E MAIN ST STE 201 |
City | SMITHTOWN |
State | NY |
Zip Code | 11787-2925 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael Savetsky | 260 E Main St Ste 201, Smithtown, NY 11787-2925 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Brad Kligman | 260 E Main St Ste 201, Smithtown, NY 11787-2925 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lee Anton Eskedal | 268 North Country Rd, Smithtown, NY 11787 | Registered Nurse | ~ |
Ecg Engineering PC | 811 West Jericho Tpke, Smithtown, NY 11787 | Professional Engineering Corporation | 2020-07-18 ~ 2021-07-17 |
Lacey Laurino | 38 Pineacre Drive, Smithtown, NY 11787 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Steven Joseph Hartmann | 920 West Jericho Tpke, Smithtown, NY 11787 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Megan Czuba | 78 Bayberry La, Smithtown, NY 11787 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Jamie A Walegir | 28 Villa Ln, Smithtown, NY 11787 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Susan Cohen-pessah | 6 Carriage House Rd, Smithtown, NY 11787 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
Steven G Hanuszek | 24 Dogwood Dr, Smithtown, NY 11787 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Wayne T Culver | 32 Oakside Rd, Smithtown, NY 11787 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Sean P Cunningham | 60 Avalon Circle, Smithtown, NY 11787 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Find all Licenses in zip 11787 |
City | SMITHTOWN |
Zip Code | 11787 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SMITHTOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David J Martin | C/o O.s.m., Trumbull, CT 06611 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Martin E Bur | 24 Warner Street, Belchertown, MA 01007 | Physician/surgeon | ~ |
Martin Bauermeister | 17 Bay St, Wickford, RI 02852 | Physician/surgeon | 2000-02-15 ~ 2000-11-30 |
Martin B. Leon | 1 Spector Rd, Woodbridge, CT 06525-1730 | Physician/surgeon | 1977-05-19 ~ 1982-05-31 |
Martin Maimon | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jeffrey J Lim | P O Box 158, Guymon, OK 73942-0158 | Physician/surgeon | 1998-03-30 ~ 1999-04-30 |
Kimberly D Martin | 477 George St, New Haven, CT 06511-5403 | Physician/surgeon | 2009-08-26 ~ 2010-07-09 |
Martin L Snyder | 360 Millstone Rd, Chesapeake, VA 23322 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
Ruth H Martin | 13 Havemeyer Ln, Old Greenwich, CT 06870-1213 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Martin E Cutler | 550 Main St, Woburn, MA 01801-3053 | Physician/surgeon | 1975-05-21 ~ 1983-05-04 |
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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).