DEVON JACOBSON (Credential# 1449825) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
DEVON JACOBSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057063. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 76 Perry Street, Putnam, CT 06260. The current status is active.
| Licensee Name | DEVON JACOBSON |
| Credential ID | 1449825 |
| Credential Number | 1.057063 |
| Credential Type | Physician/Surgeon |
| Business Address |
76 Perry Street Putnam CT 06260 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-09-22 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1530087 | CSP.0069027 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-07-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 76 Perry Street |
| City | Putnam |
| State | CT |
| Zip Code | 06260 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
| Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
| Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
| Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
| Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
| June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06260 | |||
| City | Putnam |
| Zip Code | 06260 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Putnam |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carla M Jacobson-kiel · Jacobson | 35 Minister Brook Dr, Simsbury, CT 06070 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Saul Glasner | 216 Devon Blvd, Devon, PA 19333 | Physician/surgeon | 2008-09-18 ~ 2009-11-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Eric Jacobson | 313 Den Road, Stamford, CT 06903 | Physician/surgeon | 2002-04-23 ~ 2003-05-31 |
| Leah B. Jacobson | 37 Birch Dr, Katonah, NY 10536-3840 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
| Edward Jacobson | 1 Perryridge Rd, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Harvey Jacobson | 12 Alden Ave, New Haven, CT 06515 | Physician/surgeon | 1995-08-22 ~ 1996-08-31 |
| Mark I Jacobson | 15 Dogwood Ln, Pomona, NY 10970-3314 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jeffrey M. Jacobson | 7 Erie Ave, Hornell, NY 14843-1909 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
| Caron A Jacobson | 18 Ludwig Rd, Needham Heights, MA 02494-1020 | Physician/surgeon | 2015-06-01 ~ 2016-05-31 |
Please comment or provide details below to improve the information on DEVON JACOBSON.
| 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).