DOUGLAS JORDAN GRUNWALD (Credential# 1392629) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DOUGLAS JORDAN GRUNWALD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056120. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 19 Kaiser Lane, Madison, CT 06443. The current status is active.
| Licensee Name | DOUGLAS JORDAN GRUNWALD |
| Credential ID | 1392629 |
| Credential Number | 1.056120 |
| Credential Type | Physician/Surgeon |
| Business Address |
19 Kaiser Lane Madison CT 06443 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-02-01 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1401385 | CSP.0064722 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-02-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 19 Kaiser Lane |
| City | Madison |
| State | CT |
| Zip Code | 06443 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | Madison |
| Zip Code | 06443 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Madison |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline E. Bavaro | 11 Jordan Ln, Ardsley, NY 10502-1313 | Physician/surgeon | ~ |
| Jordan Max Ruby | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
| Thomas E Jordan Jr | 197 Ridge Rd, Jupiter, FL 33477 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
| Jordan W Greenberg | 700 Broderick St, San Francisco, CA 94117 | Physician/surgeon | 1997-03-24 ~ 1998-05-31 |
| Danette Jordan | 44 Connell Dr, Stoughton, MA 02072-3708 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Horace Mendall Jordan | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | 1970-10-23 ~ |
| Jordan A Sloshower | 575 Central Avenue, New Haven, CT 06515 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jordan S Pober | 51 Greenbrier Drive, Guilford, CT 06437 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elihu York | 96 Jordan Avenue, Brunswick, ME 04011 | Physician/surgeon | 1996-07-05 ~ 1997-07-31 |
| Jordan Scott Terner | 45 E85th St, New York, NY 10028 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on DOUGLAS JORDAN GRUNWALD.
| 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).