MATTHEW NORMAN JAFFA (Credential# 2033535) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 3, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MATTHEW NORMAN JAFFA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073486. The credential type is controlled substance registration for practitioner. The effective date is April 3, 2020. The expiration date is February 28, 2021. The business address is 7523 Thicket Run, Hanover, MD 21076-1085. The current status is active.
| Licensee Name | MATTHEW NORMAN JAFFA |
| Credential ID | 2033535 |
| Credential Number | CSP.0073486 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7523 Thicket Run Hanover MD 21076-1085 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-03 |
| Effective Date | 2020-04-03 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2014486 | 1.065116-DO | Physician/Surgeon | 2020-04-02 | 2020-04-02 - 2021-01-31 | ACTIVE |
| Street Address | 7523 THICKET RUN |
| City | HANOVER |
| State | MD |
| Zip Code | 21076-1085 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dragos, Inc. | 1745 Dorsey Road, Hanover, MD 21076 | Securities - Exemptions | ~ |
| Correct Rx Pharmacy Services Inc | 1352-c Charwood Road, Hanover, MD 21076 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Linda Vong Wild | 1706 Maco Dr, Hanover, MD 21076 | Tax Preparer/facilitator Permit | 2019-03-03 ~ 2021-03-31 |
| Leah Liana Culley | 1615f Cheston Lane, Hanover, MD 21076 | Registered Nurse | 2017-10-18 ~ 2018-09-30 |
| Meghan M Rowcliffe | 2104 Piney Branch Cir, Hanover, MD 21076 | Pharmacist | 2016-08-17 ~ 2018-01-31 |
| Mid-atlantic Waterproofing of Ny Inc | 7257 Parkway Drive, Hanover, MD 21076 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
| Rachel Gilligan | 6039 River Birch Ct, Hanover, MD 21076 | Registered Nurse | 2017-02-01 ~ 2018-01-31 |
| Sharon Gaskins | 7504 Saffron Ct., Hanover, MD 21076 | Registered Nurse | 2016-11-01 ~ 2017-10-31 |
| Carpathian Imports LLC | 7513 Connelley Drive Suite K, Hanover, MD 21076 | Out of State Shipper Liquor | 2007-01-22 ~ 2008-01-21 |
| Stadtlander Drug Distribution Co In · Stadtlander Operating Co | D/b/a Stadtlanders Pharmacy, Hanover, MD 21076 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2000-07-20 ~ 2001-06-30 |
| Find all Licenses in zip 21076 | |||
| City | HANOVER |
| Zip Code | 21076 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HANOVER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Florence Marie Jaffa | 7556 Teague Rd Ste 450, Hanover, MD 21076-1968 | Controlled Substance Registration for Practitioner | 2020-04-07 ~ 2021-02-28 |
| Norman J Marieb | 266 Hemlock Dr, Orange, CT 06477-2418 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Norman A Ravski | 103 N Main St, Branford, CT 06405-3034 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Norman Herzig | 966 Prospect St, Whitneyville, CT 06517 | Controlled Substance Registration for Practitioner | 1993-09-21 ~ 1995-10-01 |
| Milton F Brown | 3 Norman Dr, Bloomfield, CT 06002-2716 | Controlled Substance Registration for Practitioner | 2009-03-04 ~ 2011-02-28 |
| Sara D Jacobsen | 49 Norman Dr, Glastonbury, CT 06033-4340 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Norman L Challburg Md | 2821 Oak Ln, Layton, UT 84040 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Paul S Norman | 320 Main St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Norman R Crepon Dmd | 417 Highland Ave, Waterbury, CT 06708-3454 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Norman Gross Dpm | 80 Grove St, Ridgefield, CT 06877-4104 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on MATTHEW NORMAN JAFFA.
| 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).