TIMOTHY DALE JAYNE JR (Credential# 1531910) 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 ACTIVE.
TIMOTHY DALE JAYNE JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069146. 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 307 S Evergreen Ave, Woodbury, NJ 08096-2739. The current status is active.
| Licensee Name | TIMOTHY DALE JAYNE JR |
| Credential ID | 1531910 |
| Credential Number | CSP.0069146 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
307 S Evergreen Ave Woodbury NJ 08096-2739 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1514177 | 23.004167 | Physician Assistant | 2018-07-20 | 2019-01-01 - 2019-12-31 | INACTIVE |
| Street Address | 307 S EVERGREEN AVE |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096-2739 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Kazos | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Rick Daniel Ornum Figurasin | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph Sehwa Tsao | 307 S Evergreen Ave, Woodbury, NJ 08096 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Edwin Tower Layng | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael John Garcia Jr | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kayleigh Gromilovitz Pung | 307 S Evergreen Ave, Woodbury, NJ 08096 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Victoria Rose Feist | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Advanced Practice Registered Nurse | 2019-06-01 ~ 2020-05-31 |
| Michael Bernard Valletta | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Russell Julius Pearl | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Controlled Substance Registration for Practitioner | 2018-01-29 ~ 2019-02-28 |
| Drew Thomas Carlton | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | ~ |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| D Kurt Acker | 135 Grant Ave, Deptford Township, NJ 08096 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Janea Mary Gibbs | Po Box 5253, Deptford, NJ 08096 | Registered Nurse - Temporary | 2020-03-17 ~ 2020-07-15 |
| Timothy Paul Dotzler | Teamhealth Northeast Group, Waterbury, NJ 08096 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tiffany Tapp | 29 N Main St., Norwalk, CT 08096 | Massage Therapist | ~ |
| Anthony Frederick Scenna | 117 Beacon Dr, Deptford, NJ 08096 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Christopher James Douglas Tems | 307 S. Evergreen Avenue, Woodbury, NJ 08096 | Physician/surgeon | 2018-01-19 ~ 2018-08-31 |
| Meghan Siobhan Leary | 657 Steeplechase Ct, Deptford, NJ 08096 | Registered Nurse | 2019-02-01 ~ 2020-01-31 |
| Jc Anderson Assoc | 40 Ash Ave, Woodbury, NJ 08096 | Professional Engineer | 1992-01-22 ~ 1993-01-31 |
| Ea Moy Cnslt Elec Eng | 340 Delaware St, Woodbury, NJ 08096 | Professional Engineer | 1994-02-03 ~ 1995-01-31 |
| Scott Kennedy | 625 Sweetgum Lane, Deptford, NJ 08096 | Certified Public Accountant License | 2014-01-01 ~ 2014-12-31 |
| Find all Licenses in zip 08096 | |||
| City | WOODBURY |
| Zip Code | 08096 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jayne Pincus | 8 West End Ave., Old Greenwich, CT 06870 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dawn K Weldon | 7 Jayne Way, Norwalk, CT 06851-2431 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael P Marotta | 6 Jayne Way, Norwalk, CT 06851-2431 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Victoria Jayne Winn | 101 Orange St # 340, New Haven, CT 06510-3108 | Controlled Substance Registration for Practitioner | 2014-04-23 ~ 2015-02-28 |
| Dale C Pappas P.a. | Po Box 264, Agawam, MA 01001-0264 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Dale T Toce Md | 7 Elm St Ste 201, Enfield, CT 06082-3670 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jayne Donovan | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Andrew G Gabow | 34 Dale Rd Ste 208, Avon, CT 06001-3659 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven D Bond | 34 Dale Rd Ste 208, Avon, CT 06001-3659 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Scott S Dale | 16 Canterbury Rd, Hamden, CT 06514-2014 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).