PAMELA E JACKSON MD (Credential# 172607) 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.
PAMELA E JACKSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024279. 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 2600 Post Road, Southport, CT 06890. The current status is active.
| Licensee Name | PAMELA E JACKSON MD |
| Credential ID | 172607 |
| Credential Number | CSP.0024279 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2600 Post Road Southport CT 06890 |
| 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 |
|---|---|---|---|---|---|
| 552733 | 1.035139 | Physician/Surgeon | 1996-03-29 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 2600 Post Road |
| City | Southport |
| State | CT |
| Zip Code | 06890 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sasco Hill Surgery Center | 2600 Post Road, Southport, CT 06890 | Out-patient Surgical Facility | 2019-10-03 ~ 2021-09-30 |
| Nirmala L Monteiro Md | 2600 Post Road, Southport, CT 06890 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Bradford S Chervin | 2600 Post Road, Southport, CT 06890 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michael J Reynolds | 2600 Post Road, Southport, CT 06890 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles L Mellinger IIi | 2600 Post Road, Southport, CT 06490 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| William A Dasilva · Southport Brewing Company | 2600 Post Road, Southport, CT 06490 | Caterer | 2013-09-14 ~ 2014-09-13 |
| Connie C Seo | 2600 Post Road, Southport, CT 06890 | Chiropractor | 2008-12-26 ~ 2010-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
| Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06890 | |||
| City | Southport |
| Zip Code | 06890 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Southport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela D Pinch | Box 937, Niantic, CT 06357 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Pamela A Moore | 141 Coe Ave, Middletown, CT 06457-4732 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pamela Townshend | 675 S Main St Ste A, Cheshire, CT 06410-3153 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Pamela J Walsh | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Pamela Ohri | 80 Ethan Dr, Windsor, CT 06095-1669 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Pamela Jeppson | 25 Metcalf St, Worcester, MA 01609-1654 | Controlled Substance Registration for Practitioner | 2020-04-28 ~ 2021-02-28 |
| Pamela J Garofalo | 8 Wheatfield Dr, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pamela J Moore | 511 Ridge Rd, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pamela Gibson | 10 John St, Southport, CT 06890 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pamela B Hoffman | 200 Merritt St, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on PAMELA E JACKSON MD.
| 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).