JEFFREY L BENJAMIN (Credential# 150827) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
JEFFREY L BENJAMIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003845. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 166 W Broad St, Stamford, CT 06902. The current status is inactive.
| Licensee Name | JEFFREY L BENJAMIN |
| Credential ID | 150827 |
| Credential Number | CSP.0003845 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
166 W Broad St Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2005-03-01 |
| Expiration Date | 2006-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 541366 | 1.015133 | Physician/Surgeon | 1971-12-07 | 2004-06-15 - 2005-06-30 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey L Benjamin | 284 Murray Avenue, Larchmont, NY 10538 | Physician/surgeon | 2007-09-07 ~ 2008-08-31 |
| Street Address | 166 W BROAD ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel G Davis Do | 166 W Broad St, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Main Street Pharmacy 4 LLC | 166 W Broad St, Stamford, CT 06902-3661 | Pharmacy | 2011-09-01 ~ 2012-08-31 |
| Shr-professional Pharmacy | 166 W Broad St, Stamford, CT 06904 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2000-07-01 ~ 2001-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin Evenchik | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-11-14 ~ 2013-02-28 |
| Benjamin Schanker | 117 Waterman St, Bridgeport, CT 06607 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Benjamin M Schultz | 162 Warde Ter, Fairfield, CT 06825-3633 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin Iapaluccio | 18 Birchwood Dr, New Milford, CT 06776-2304 | Controlled Substance Registration for Practitioner | 2019-10-11 ~ 2021-02-28 |
| Benjamin Read | 3 Alder Way, Bedford, MA 01730-1062 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Arnold Benjamin | 93 West Rd, Ellington, CT 06029 | Controlled Substance Registration for Practitioner | 2019-04-25 ~ 2021-02-28 |
| Benjamin J Vaccaro | 789 Howard Ave, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin Yeboah | 55 Kondracki Ln, Wallingford, CT 06492-4951 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Daniel Benjamin Lax | 4 Corporate Dr Ste 484, Shelton, CT 06484-6241 | Controlled Substance Registration for Practitioner | 2019-07-25 ~ 2021-02-28 |
| Benjamin Greenblatt | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JEFFREY L BENJAMIN.
| 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).