JERREYLL T JACKSON (Credential# 2013468) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 2, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JERREYLL T JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073277. The credential type is controlled substance registration for practitioner. The effective date is March 2, 2020. The expiration date is February 28, 2021. The business address is 41 Saint Nicholas Ter Apt 30, New York, NY 10027-2738. The current status is active.
| Licensee Name | JERREYLL T JACKSON |
| Credential ID | 2013468 |
| Credential Number | CSP.0073277 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
41 Saint Nicholas Ter Apt 30 New York NY 10027-2738 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-02 |
| Effective Date | 2020-03-02 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561243 | 1.043661 | Physician/Surgeon | 2005-07-20 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 413794 | CSP.0038037 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-08-17 | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 41 SAINT NICHOLAS TER APT 30 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10027-2738 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Kessler | 615 W 131st St, New York, NY 10027 | Physician/surgeon | ~ |
| Siaka Kone | 410 St Nicholas Ave Apt 2d, New York, 10027 | Electrical Unlimited Journeyperson | ~ |
| Andouah Assebian | 2130 7th Avenue Apt #2d, New York, NY 10027 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Damir Turk | 360 W 125 St, New York, NY 10027 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Natalie Chaudhary | 17 Convent Avenue, New York, NY 10027 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Victoria Sorokin | 2280 Frederick Douglass Boulevard, #4j, New York, NY 10027 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Rachael Akiko Haver | 79 West 127 St, New York, NY 10027 | Emergency Medical Technician | ~ |
| Nerissa Alleyne | 2 West 120th Street, New York, NY 10027 | Notary Public Appointment | 2013-07-19 ~ 2018-07-31 |
| Rebecca Kowal | 90 La Salle Street, New York, NY 10027 | Registered Nurse | 2018-08-30 ~ 2019-05-31 |
| Duce Construction Corporation | 412 West 127th St, New York, NY 10027 | New Home Construction Contractor | 2019-10-01 ~ 2021-09-30 |
| Find all Licenses in zip 10027 | |||
| City | NEW YORK |
| Zip Code | 10027 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra L Brand Md | Po Box 9212, Jackson, WY 83002-9212 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jill C Rubinstein | 26 Jackson Rd, Hamden, CT 06517-1610 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael O'brien | 4 Jackson St, Beacon, NY 12508-3453 | Controlled Substance Registration for Practitioner | 2020-06-22 ~ 2021-02-28 |
| Brendan Jackson | 64 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Ji Hong Ahn | 34 Jackson Ave, West Hartford, CT 06110-1013 | Controlled Substance Registration for Practitioner | 2019-03-06 ~ 2021-02-28 |
| Jennifer S Jackson | 100 Temple St Apt 201, New Haven, CT 06510-2728 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kimberly K Lett | 141 Edenwood Dr, Jackson, TN 38301-3826 | Controlled Substance Registration for Practitioner | 2012-05-08 ~ 2013-02-28 |
| Van R Jackson | 1450 Chapel St, New Haven, CT 06511-4405 | Controlled Substance Registration for Practitioner | ~ |
| Dowin H Boatright | 105 Jackson Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hannah B Jackson | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on JERREYLL T JACKSON.
| 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).