JONATHAN D BLANCAFLOR (Credential# 158798) 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.
JONATHAN D BLANCAFLOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019077. 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 1656 Champlin Ave Ste 222, Utica, NY 13502-4830. The current status is active.
Licensee Name | JONATHAN D BLANCAFLOR |
Credential ID | 158798 |
Credential Number | CSP.0019077 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
1656 Champlin Ave Ste 222 Utica NY 13502-4830 |
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 | 2019-01-25 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
548716 | 1.030814 | Physician/Surgeon | 1990-06-01 | 2019-11-01 - 2020-10-31 | ACTIVE |
Street Address | 1656 CHAMPLIN AVE STE 222 |
City | UTICA |
State | NY |
Zip Code | 13502-4830 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joy Lynn Hameline | 40 Freedom Court, Utica, NY 13502 | Registered Nurse | ~ |
D'arcangelo & Co LLP | 120 Lomond Court, Utica, NY 13502 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
Dawn Reiss | 908 Arnold Ave, Utica, NY 13502 | Physical Therapist Assistant | 2019-12-01 ~ 2020-11-30 |
Adirondack Distilling Company | 601 Varick Street, Utica, NY 13502 | Out of State Shipper Liquor | 2017-01-05 ~ 2018-01-04 |
Standard Insulating Co Inc | 5666 Horatio St, Utica, NY 13502 | Home Improvement Contractor | 2005-01-10 ~ 2005-11-30 |
Magnolia E Zarzuela | 462 Marilyn Dr, Utica, NY 13502 | Licensed Practical Nurse | 2013-12-01 ~ 2014-11-30 |
Cars4charities | 286 Genesee Street,suite 7, Utica, NY 13502 | Public Charity | 2012-06-01 ~ 2013-05-31 |
Michael J Bonanza | 1410 Lenox Ave, Utica, NY 13502 | Licensed Practical Nurse | 2013-01-01 ~ 2013-12-31 |
Omar S Brimfield | 462 Marilyn Drive, Utica, NY 13502 | Licensed Practical Nurse | 2012-10-01 ~ 2013-09-30 |
Irene T Baldovino | 1420 Sophia Ave, Utica, NY 13502 | Licensed Practical Nurse | 2010-11-01 ~ 2011-10-31 |
Find all Licenses in zip 13502 |
City | UTICA |
Zip Code | 13502 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + UTICA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan L Nelson Md | 33 Cedar St Ste 6, Rye, NY 10580-2031 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Jonathan T Orr | 37 Ridge Rd, Danbury, CT 06810-6362 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jonathan Uhl | 227 Coppermine Rd, Unionville, CT 06085-1528 | Controlled Substance Registration for Practitioner | 2020-03-10 ~ 2021-02-28 |
Jonathan P Shepherd | 219 Elm St, Swissvale, PA 15218-1517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jonathan Rie Md | 33 Davis Ave, White Plains, NY 10605 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Jonathan Alexander | 111 Osborne St Ste 131, Danbury, CT 06810-6019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jonathan H Zins Md | 9 Fairview Dr, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Jonathan D Black | 120 Knollwood Dr, New Haven, CT 06515-2459 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Jonathan M Babiarz | 215 State St, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jonathan S Siegfried | 46 Prince St Ste 310, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).