JAY ALEXANDER HOMBURGER (Credential# 1531376) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 28, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JAY ALEXANDER HOMBURGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069124. The credential type is controlled substance registration for practitioner. The effective date is July 28, 2019. The expiration date is February 28, 2021. The business address is 7700 West Sunrise Blvd, Plantation, FL 33322. The current status is active.
| Licensee Name | JAY ALEXANDER HOMBURGER |
| Credential ID | 1531376 |
| Credential Number | CSP.0069124 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7700 West Sunrise Blvd Plantation FL 33322 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-19 |
| Effective Date | 2019-07-28 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1494468 | 1.061555 | Physician/Surgeon | 2018-07-02 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 7700 WEST SUNRISE BLVD |
| City | Plantation |
| State | FL |
| Zip Code | 33322 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Reid Douglas Breckwoldt | 7700 West Sunrise Blvd, Plantation, FL 33322 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cara M Diaz | 2541 N Nob Hill Rd, Sunrise, FL 33322 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Steven Louis Novick | 7700 West Sunrise Blvd, Suite 200, Plantation, FL 33322 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Agneris Angelica Recio | 9880 Nw 25th Ct, Sunrise, FL 33322 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
| Kristina Laurie Thomas | 2110 Nw 82nd Way, Sunrise, FL 33322 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| David Allen Marquis | 1101 Nw 101 Way, Plantation, FL 33322 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| James E Nagle | 9150 Nw 26th Street, Sunrise, FL 33322 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
| Clifford Emildefonso Cabatingan Muneses | 7700 West Sunrise Blvd., Plantation, FL 33322 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gary H Elzweig | 1132 Nw 79th Dr, Plantation, FL 33322 | Professional Engineer | 1988-01-21 ~ 1989-01-31 |
| Raymond C Murphy · Camp Dresser&mckee Inc | 1117 Nw 107 Terrace, Plantation, FL 33322 | Professional Engineer | 1995-02-27 ~ 1996-01-31 |
| Ronald W Gustainus | 10340 Nw 17th Pl, Plantation, FL 33322 | Professional Engineer | 2002-02-01 ~ 2003-01-31 |
| Find all Licenses in zip 33322 | |||
| City | Plantation |
| Zip Code | 33322 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Plantation |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander C Ho | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexander Mahendran | Po Box 187, Thompson, CT 06277-0187 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexander Weiss | 111 Park St Apt 10a, New Haven, CT 06511-5459 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Alexander J Alvarez | 73 Waterbury Rd, Prospect, CT 06712-1252 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexander Robertson | 46 Wolcott, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Alexander Ryzhikov | 152 Temple St Apt 107, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Jonathan Alexander | 111 Osborne St Ste 131, Danbury, CT 06810-6019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexander L Johnson | 257 W 97th St, New York, NY 10025-6219 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jamilah A. Alexander Pa | 17 Oconnor Ave., Holyoke, MA 01040 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| W Alexander Herbordt Md | 30 Orchard Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 1993-09-22 ~ 1995-10-01 |
Please comment or provide details below to improve the information on JAY ALEXANDER HOMBURGER.
| 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).