JONATHAN TAYLOR GROSSMAN (Credential# 1501883) 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 INACTIVE.
JONATHAN TAYLOR GROSSMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067688. 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 1540 Mayo St, Hollywood, FL 33020-6515. The current status is inactive.
| Licensee Name | JONATHAN TAYLOR GROSSMAN |
| Credential ID | 1501883 |
| Credential Number | CSP.0067688 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1540 Mayo St Hollywood FL 33020-6515 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2018-05-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1514261 | 1.060885-RES | Resident Physician | 2018-07-01 | 2018-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 1540 MAYO ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-6515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan M Aurigemma | 2638 Lincoln St, Hollywood, FL 33020 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Vin Sivan Pillai | Suite 315, Hollywood, FL 33020 | Physician/surgeon | 2020-02-05 ~ 2021-02-28 |
| Premier Kids Care Inc | 601 N 21st Avenue, Hollywood, FL 33020 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Vaunrance J Benjamin | 210 South Federal Highway, Hollywood, FL 33020 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Timothy J Curtin, IIi | 120 South Dixie Highway, Hollywood, FL 33020 | Certified Public Accountant License | 1992-08-04 ~ 1992-12-31 |
| Annabelle G Pioquinto | 1722 Unit 6 Van Buren St, Hollywood, FL 33020 | Registered Nurse | 2009-05-12 ~ 2010-05-31 |
| Helen D Vento | 2646 Polk Street, Hollywood, FL 33020 | Licensed Practical Nurse | 2008-06-19 ~ 2009-05-31 |
| Adore C Stenger | 2771 Taft St, Hollywood, FL 33020 | Registered Nurse | 1993-04-23 ~ 1994-05-31 |
| Muriel V Buchino | 2406 Funston St, Hollywood, FL 33020 | Registered Nurse | 1992-10-23 ~ 1993-10-31 |
| Rosalie B Diner | 2719 Jackson St, Hollywood, FL 33020 | Dental Hygienist | 2004-10-01 ~ 2005-11-30 |
| Find all Licenses in zip 33020 | |||
| City | HOLLYWOOD |
| Zip Code | 33020 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HOLLYWOOD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachel D Egan | 150 Grossman Dr Ste 404, Braintree, MA 02184-4952 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bertram Grossman Md | 5 Indian Point Ln, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Matthew R Grossman | 333 Cedar Street, New Haven, CT 06520-8064 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward T Grossman Md | 21 Cockenoe Drive, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jonathan L Nelson Md | 33 Cedar St Ste 6, Rye, NY 10580-2031 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jonathan T Orr | 37 Ridge Rd, Danbury, CT 06810-6362 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan Uhl | 227 Coppermine Rd, Unionville, CT 06085-1528 | Controlled Substance Registration for Practitioner | 2020-03-10 ~ 2021-02-28 |
| Jonathan P Shepherd | 219 Elm St, Swissvale, PA 15218-1517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan L. Koff | Po Box 208057, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan B Knapp | 1 Diamond Ave, Bethel, CT 06801-1801 | Controlled Substance Registration for Practitioner | 2019-03-06 ~ 2021-02-28 |
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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).