DOUGLAS JASON LIEBERMAN (Credential# 1622422) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 27, 2018. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DOUGLAS JASON LIEBERMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070027. The credential type is controlled substance registration for practitioner. The effective date is December 27, 2018. The expiration date is February 28, 2021. The business address is 6 Conifer Lane, Avon, CT 06001. The current status is active.
| Licensee Name | DOUGLAS JASON LIEBERMAN |
| Credential ID | 1622422 |
| Credential Number | CSP.0070027 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6 Conifer Lane Avon CT 06001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-27 |
| Effective Date | 2018-12-27 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1619256 | 12.008028 | Advanced Practice Registered Nurse | 2018-12-26 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1607709 | 10.156846 | Registered Nurse | 2018-12-06 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1609568 | 10.155443-TEMP | Registered Nurse - Temporary | 2018-10-18 | 2018-10-18 - 2019-02-15 | INACTIVE |
| Street Address | 6 Conifer Lane |
| City | Avon |
| State | CT |
| Zip Code | 06001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | Avon |
| Zip Code | 06001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Avon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas Jason Buckert | 29 Central Ave, Hamden, CT 06517-1806 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ira N. Lieberman | 68 S Service Rd Ste 350, Melville, NY 11747-2358 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ryan M Lieberman | 7 Buckthorn Rd, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen J Lieberman Dds | 15 New Britain Ave, Unionville, CT 06085-1277 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jay R Lieberman Md | 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Amanda R Lieberman Pa | 1063 Mosser Rd Apt U201, Breinigsville, PA 18031-1405 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jason M Hammond | 1 3rd Ave, Mineola, NY 11501 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jason G. Lai | Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean H Bell | 64 Douglas Rd, New Canaan, CT 06840-6210 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Douglas Perry Md | 780 Farmington Ave, Bristol, CT 06010-3920 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Please comment or provide details below to improve the information on DOUGLAS JASON LIEBERMAN.
| 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).