JERROLD R AMBROSE DMD (Credential# 152369) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
JERROLD R AMBROSE DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003157. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 108 Town Farm Rd, East Haddam, CT 06423-1556. The current status is inactive.
| Licensee Name | JERROLD R AMBROSE DMD |
| Credential ID | 152369 |
| Credential Number | CSP.0003157 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
108 Town Farm Rd East Haddam CT 06423-1556 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 700497 | 2.004522 | Dentist | 1973-02-17 | 2011-02-01 - 2012-01-31 | INACTIVE |
| Street Address | 108 TOWN FARM RD |
| City | EAST HADDAM |
| State | CT |
| Zip Code | 06423-1556 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew J Saltus | 114 Town Farm Rd, East Haddam, CT 06423-1556 | Emergency Medical Technician | 2010-03-09 ~ 2013-04-01 |
| Kimberly A Terribile | 118 Town Farm Rd, East Haddam, CT 06423-1556 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Audrey H Kyle-oates | P O Box 23, East Haddam, CT 06423 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Roy Rogers | 18 Cove Road, East Haddam, CT 06423 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Allison L Cappitella Aprn | 31 Bogue Lane, East Haddam, CT 06423 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Staehly Farm Winery | 274-278 Town St, East Haddam, CT 06423 | Farmer's Market Permit | 2020-05-30 ~ 2021-05-29 |
| Gail Smoloski-heil · Smoloski | 155 Parker Road, East Haddam, CT 06423 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| J. Christopher Backes | 55 Main Street, East Haddam, CT 06423 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Rachael Finch | 342 Mt. Parnassus Road, East Haddam, CT 06423 | Medication Administration Certification | ~ |
| Change A Life Dog Rescue, Inc. · N/a | 9 Ridge Road, East Haddam, CT 06423 | Public Charity | 2020-06-11 ~ 2021-11-30 |
| George Fellner | P.o. Box 115, East Haddam, CT 06423 | Architect | 2020-08-01 ~ 2021-07-31 |
| Maureen K Goff | 180 Daniel Peck Rd, East Haddam, CT 06423 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
| Find all Licenses in zip 06423 | |||
| City | EAST HADDAM |
| Zip Code | 06423 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST HADDAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ambrose H Wong | 464 Congress Ave. Suite 260, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Ambrose Md | 47 Wood Pond Rd, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ambrose Alfonsi Md | 61 Glenn Drive, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Carnetta A Stewart | 26 Ambrose Ter Apt 1, East Hartford, CT 06108-2301 | Controlled Substance Registration for Practitioner | 2019-12-02 ~ 2021-02-28 |
| Ambrose A Sharnick Md | 136 Chestnut Tree Hill Road Ext, Oxford, CT 06478-1432 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ambrose Associates | 96 Blinman Street, New London, CT 06320-5646 | Home Improvement Contractor | 1996-12-01 ~ 1997-11-30 |
| Neilsa A Ambrose · Ambrose Construction | 75 Second St, New Haven, CT 06519 | Home Improvement Contractor | 2005-11-28 ~ 2005-11-30 |
| Jerrold Herman | 1278 East 86th St., Brooklyn, NY 11236 | Respiratory Care Practitioner | 2003-03-03 ~ 2004-01-31 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| St Ambrose Church | 1596 Boston Ave, Bridgeport, CT 06610-2604 | Bingo Permit Monthly | 2011-08-18 ~ 2011-12-31 |
Please comment or provide details below to improve the information on JERROLD R AMBROSE DMD.
| 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).