JEROME E WILLIAMS JR (Credential# 163377) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 1, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.
JEROME E WILLIAMS JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022041. The credential type is controlled substance registration for practitioner. The effective date is May 1, 1996. The expiration date is February 28, 1997. The business address is 1521 Bridford Pkwy, Greensboro, NC 27407. The current status is inactive.
Licensee Name | JEROME E WILLIAMS JR |
Credential ID | 163377 |
Credential Number | CSP.0022041 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
1521 Bridford Pkwy Greensboro NC 27407 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 1996-05-01 |
Expiration Date | 1997-02-28 |
Refresh Date | 2004-04-23 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
550139 | 1.032534 | Physician/Surgeon | 1992-08-14 | 1995-07-12 - 1996-07-31 | INACTIVE |
Street Address | 1521 BRIDFORD PKWY |
City | GREENSBORO |
State | NC |
Zip Code | 27407 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John Nelson Montgomery | 4900 Koger Blvd. Suite100, Greensboro, NC 27407 | Registered Nurse | ~ |
Julia Denise Branch | 4200 Cabarruscourt E, Greensboro, NC 27407 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
Sandra Lee Magliocca | 4900 Koger Blvd, Greensboro, NC 27407 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Carol A Norton Carter | 5522 Cobble Glen Ct, Greensboro, NC 27407 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Donna Jo Smith | 4900 Koger Boulevard, Greensboro, NC 27407 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Crystal Marie Blanchard | 5503 Cobble Glen Court, Greensboro, NC 27407 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Carol Thornton Crawford | Accordant Health Services, Greensboro, NC 27407 | Registered Nurse | 2020-01-02 ~ 2021-01-31 |
Suzane Mehari Kidane | 4900 Koger Blvd Ste 400, Greensboro, NC 27407 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Jennifer Edwards Golinski | 10 Cardwell Pt, Greensboro, NC 27407 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Candy Michelle Peters | 4900 Koger Blvd Suite 100, Greensboro, NC 27407 | Registered Nurse | 2019-11-07 ~ 2020-01-31 |
Find all Licenses in zip 27407 |
City | GREENSBORO |
Zip Code | 27407 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GREENSBORO |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jerome F Odlum Dmd | Courtyard #20, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Jerome O Sugar | 171 Grandview Ave, Waterbury, CT 06708-2517 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Joshua K Malouin | 339 Jerome Ave, Burlington, CT 06013-2434 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Emily M Mensel | 339 Jerome Ave, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jerome Gnanaraj | 235 Seymour Ave, Derby, CT 06418-1325 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Jerome L Lichtenstein | 113 Lafayette St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Deanna L Michaud | 378 Jerome Ave, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Bruce Rothschild | 34 Jerome Ave Ste 110, Bloomfield, CT 06002-2463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jerome W Takiff | 895 E Main St, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Sunil Shah | 19 Jerome Dr, Farmingdale, NY 11735-1810 | Controlled Substance Registration for Practitioner | 2018-12-21 ~ 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).