HENRY E JACOBS (Credential# 155434) 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.
HENRY E JACOBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015271. 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 1 Northwestern Dr, Bloomfield, CT 06002-3400. The current status is active.
| Licensee Name | HENRY E JACOBS |
| Credential ID | 155434 |
| Credential Number | CSP.0015271 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Northwestern Dr Bloomfield CT 06002-3400 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 542360 | 1.017368 | Physician/Surgeon | 1975-06-25 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 1 NORTHWESTERN DR |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3400 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah A Holder | 1 Northwestern Dr, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 1995-11-02 ~ 1997-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Healthcare At Home | 1 Northwestern Dr Fl 101, Bloomfield, CT 06002-3400 | Home Health Care | 2018-04-01 ~ 2021-03-31 |
| Jean Lafayette | 1 Northwestern Dr Fl 201, Bloomfield, CT 06002-3400 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
| Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06002 | |||
| City | BLOOMFIELD |
| Zip Code | 06002 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert J Jacobs | 100 Rte 37, New Fairfield, CT 06812 | Controlled Substance Registration for Practitioner | 2019-02-04 ~ 2019-02-28 |
| Ronnie L Jacobs Md | 78 Crestridge Dr, Asheville, NC 28803-9509 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jason Jacobs | 141 Deerfield Ln N, Pleasantville, NY 10570-1430 | Controlled Substance Registration for Practitioner | 2019-01-08 ~ 2021-02-28 |
| Edyta M Jacobs | 25 Wildcat Rd, Burlington, CT 06013-2424 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Saranya Sakhamuri | 16 Jacobs Ln, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Catherine Jacobs | 2 Park Pl Apt 14k, Hartford, CT 06106-5014 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gabriel B Jacobs | 80 Howe St Apt 100, New Haven, CT 06511-4630 | Controlled Substance Registration for Practitioner | 2010-12-17 ~ 2013-02-28 |
| Rose E Jacobs | 46 Twilight Dr, Granby, CT 06035 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wenli Gao | 9 Jacobs Lane, Newtown, CT 06470 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lee David Jacobs Md | 1735 Post Rd Ste 2e, Fairfield, CT 06824-5700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on HENRY E JACOBS.
| 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).