MERRILL B JAFFE MD (Credential# 143309) 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.
MERRILL B JAFFE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013068. 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 174 Cipriani Way, North Venice, FL 34275. The current status is active.
| Licensee Name | MERRILL B JAFFE MD |
| Credential ID | 143309 |
| Credential Number | CSP.0013068 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
174 Cipriani Way North Venice FL 34275 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 545930 | 1.026282 | Physician/Surgeon | 1985-04-22 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 174 Cipriani Way |
| City | North Venice |
| State | FL |
| Zip Code | 34275 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Simmons | 187 Valenza Loop, North Venice, FL 34275 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Theresa M Nolan | 1035 Sorrento Woods Blvd, Nokomis, FL 34275 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Genevieve Dickinson | 2024 White Feather Lane, Nokomis, FL 34275 | Registered Nurse | 2017-11-01 ~ 2018-10-31 |
| Melissa H Schnirring | 1308 Vermeer Dr., Nokomis, FL 34275 | Massage Therapist | 2016-09-01 ~ 2018-08-31 |
| Alexander C Wall | 705 Bayshore Rd, Nokomis, FL 34275 | Professional Engineer | 1993-01-11 ~ 1994-01-31 |
| Sandra A Palumbo | 925 Bayshore Road, Nokomis, FL 34275 | Real Estate Broker | 1997-06-01 ~ 1998-05-31 |
| Sheridan J Dowling | 1618 Landfall Dr, Nokomis, FL 34275 | Professional Engineer | 2013-02-01 ~ 2014-01-31 |
| Annamaria Tosolini | 866 Hillcrest Drive, Nokomis, FL 34275 | Hairdresser/cosmetician | 2011-01-01 ~ 2012-12-31 |
| Erica S Curry | 1600 Hammock Dr., Nokomis, FL 34275 | Registered Nurse | 2011-08-01 ~ 2012-07-31 |
| Scott R Horn | 182 Medici Terrace, North Venice, FL 34275 | Physician/surgeon | 2008-08-05 ~ 2009-08-31 |
| Find all Licenses in zip 34275 | |||
| City | North Venice |
| Zip Code | 34275 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + North Venice |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joshua S Jaffe | Po Box 1040, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martin L Jaffe Md | 4809 Ave N #126, Brooklyn, NY 11234 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Frances M Deegan Aprn | 84 Jaffe Ter, Colchester, CT 06415-1004 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Garrett R Jaffe | 486 27th Ave N, Saint Petersburg, FL 33704-2838 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David H Jaffe Md | 236 Old Post Road, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ariel Beth Jaffe | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2020-03-24 ~ 2021-02-28 |
| Alan Jaffe Md | The Westmed Medical Group, Purchase, NY 10577 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Philip E Jaffe Md | 2200 Whitney Ave Suite 360, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Merrill D Dunn | 136 Main St Ste 204, New Britain, CT 06051-4231 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kimberly A Merrill | 41 1st Tavern Rd, Jaffrey, NH 03452-5103 | Controlled Substance Registration for Practitioner | ~ |
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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).