ANDREW JACOBSON (Credential# 2034039) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2023. The license status is ACTIVE.
ANDREW JACOBSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065191-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2023. The business address is 24 Hospital Ave, Danbury, CT 06810-6099. The current status is active.
| Licensee Name | ANDREW JACOBSON |
| Credential ID | 2034039 |
| Credential Number | 1.065191-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
24 Hospital Ave Danbury CT 06810-6099 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2023-06-30 |
| Refresh Date | 2020-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2034800 | CSP.0073615 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-04-10 | 2020-04-10 - 2021-02-28 | ACTIVE |
| Street Address | 24 HOSPITAL AVE |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-6099 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Drake | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2026-06-30 |
| Patra Childress | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2026-06-30 |
| Karri Hester | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
| Mary Winslow | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2026-06-30 |
| Minha Kim | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2018-06-21 ~ 2025-06-30 |
| Arash Rahimi-ardabily | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2025-06-30 |
| Krist Aploks | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2025-06-30 |
| Cynthia Mckinney | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Amanda Ferraro | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Anya Laibangyang | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Muhammad Umair Bakhsh | 664 Flatbush Ave, West Hartford, CT 06810-6099 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Patricia A Tietjen Md | 24 Hospital Ave 5 South, Danbury, CT 06810-6099 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Oluwatosin Odunsi-akanji | 24 Hospital Ave Dept Of, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric A Schwarz Md | Wcmg Anesthesiology, Danbury, CT 06810-6099 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mishal Khan | 27 Hospital Avenue, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Traci R Ferris | Wcmg - Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lynn Weingarten | Wcmg - 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohamad H Taha | 505 Sienna Dr, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason G. Lai | Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Victor Usatii Md | Hospitalists Department, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2015-03-18 ~ 2017-02-28 |
| Find all Licenses in zip 06810-6099 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eastern College Athletic Conference Inc | Matrix Corp Ctr 39 Old Ridgebury Rd, Danbury, CT 06810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Subway #36533 | 67 Newtown Rd, Danbury, CT 06810 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Natali Salome Teran | 27 Balmforth Ave 2, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Kristin Danielle Mehta | 33 Country View Road, Danbury, CT 06810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Zhane Gabrielle Cardenas | 40 Westville Avenue Apt 1, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2021-09-30 |
| Zhane E Willikinson | 30 Germantown Road Suite 117, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2022-03-31 |
| Michelle Dahlgren | 8 Stable Drive, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Asheree P Griffin | 14 New Town Road, Danbury, CT 06810 | Real Estate Salesperson | ~ |
| Tania Isabel Salazar | 20 Highland Avenue, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Gregory C Banks | Gregory Banks Counseling, LLC, Danbury, CT 06810 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + DANBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carla M Jacobson-kiel · Jacobson | 35 Minister Brook Dr, Simsbury, CT 06070 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Andrew B Koo | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Andrew Jin | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Andrew J Seto | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Andrew C Rausch | 85 Lindale St Apt 3, Stamford, CT 06902-2838 | Resident Physician | 2014-07-01 ~ 2018-06-30 |
| Andrew Xiaohai Li | 154 Overbrook Rd, Madison, CT 06443-1953 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Andrew Cox | 181 Alden Ave Unit B, New Haven, CT 06515-2109 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Andrew S Kuhn | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Andrew Wakeman | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-28 ~ 2022-06-27 |
| Andrew S Zhang | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-03-09 ~ 2020-03-15 |
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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).