JENNIFER MADDOX (Credential# 1647299) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JENNIFER MADDOX is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063677. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 119 Island Ave, Madison, CT 06443-3029. The current status is active.
Licensee Name | JENNIFER MADDOX |
Credential ID | 1647299 |
Credential Number | 1.063677 |
Credential Type | Physician/Surgeon |
Business Address |
119 Island Ave Madison CT 06443-3029 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-06-12 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-02-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2013011 | CSP.0073257 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-02-28 | 2020-02-28 - 2021-02-28 | ACTIVE |
Street Address | 119 ISLAND AVE |
City | MADISON |
State | CT |
Zip Code | 06443-3029 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06443 |
City | MADISON |
Zip Code | 06443 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MADISON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William Mcbride | 75 Maddox Dr, Atlanta, GA 30309 | Physician/surgeon | 1995-10-24 ~ 1996-09-30 |
Richard C Maddox · Rc Maddox Home Improvevements | 38 Gurley Rd, Waterford, CT 06385 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
Toshema A Maddox · Maddox | 10 Lancaster Drive, Windsor, CT 06095 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Jennifer Marie Maddox | 64 Jefferson Ave, New London, CT 06320-5048 | Sealed Ticket Operator | 2017-09-28 ~ |
Maddox Roofing and Restoration LLC | 96 Roydon Rd, New Haven, CT 06511-2807 | Home Improvement Contractor | 2019-10-10 ~ 2020-11-30 |
Maddox & Associates A Professional Corporation | 5627 Bankers Avenue, Baton Rouge, LA 70808 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
Jennifer H. Kuo | 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 | Physician/surgeon | ~ |
Jennifer L Bau | 1 Guthrie Sq, Sayre, PA 18840-1625 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
Jennifer Lax Md | 23 Old Stone Bridge Rd, Cos Cob, CT 06807-1511 | Physician/surgeon | 2003-05-16 ~ 2004-02-29 |
Jennifer L Yeh Md | 4 Smith Dr, Savannah, GA 31406-6441 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
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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).