JEREMY J PUTHUMANA (Credential# 2052292) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JEREMY J PUTHUMANA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.066049-RES. The credential type is resident physician. The effective date is June 11, 2020. The expiration date is June 30, 2021. The business address is 60 Enclosure Dr, Morganville, NJ 07751-1813. The current status is active.
| Licensee Name | JEREMY J PUTHUMANA |
| Credential ID | 2052292 |
| Credential Number | 1.066049-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
60 Enclosure Dr Morganville NJ 07751-1813 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-11 |
| Effective Date | 2020-06-11 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2052792 | CSP.0074393 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-18 | 2020-06-18 - 2021-02-28 | ACTIVE |
| 1270004 | 70.018843 | Emergency Medical Technician | 2015-03-11 | 2015-03-11 - 2017-12-31 | INACTIVE |
| Street Address | 60 ENCLOSURE DR |
| City | MORGANVILLE |
| State | NJ |
| Zip Code | 07751-1813 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory R Belanger | 104 Chardon Court, Morganville, NJ 07751 | Architect | 2020-08-01 ~ 2021-07-31 |
| Evgeniya Demkova | 8 Kaiser Court, Morganville, NJ 07751 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Henry L Karpf | Po Box 426, Morganville, NJ 07751 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| Debbie A. Reilly | 1 Monticello Court, Morganville, NJ 07751 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Brandon I Turkish | 127 Janwich Drive, Morganville, NJ 07751 | Emergency Medical Technician | 2020-04-01 ~ 2023-03-31 |
| Narinder S Chhabra | 15 Bromley Court, Morganville, NJ 07751 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Maureen F Rubin | 284 Nottingham Road, Morganville, NJ 07751 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Moh Mohiuddin | 75 Edgewood Rd, Morganville, NJ 07751 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Marina Poletaev | 4 Pegasus Court, Morganville, NJ 07751 | Tax Preparer/facilitator Permit | 2019-11-11 ~ 2021-11-30 |
| Robert Kachko | 209 Picadilly Drive, Morganville, NJ 07751 | Naturopathic Physician | 2019-07-01 ~ 2020-06-30 |
| Find all Licenses in zip 07751 | |||
| City | MORGANVILLE |
| Zip Code | 07751 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + MORGANVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeremy Goss | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jeremy Levin | 24 Stevens St, Norwalk, CT 06850-3852 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Jeremy A Scheidt | 309 Dusty Ln, Sherman, TX 75092-8347 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Jeremy Wong Chin | 25 Frederick St Apt 203, Hartford, CT 06105-3236 | Resident Physician | 2015-07-01 ~ 2019-06-30 |
| Jeremy Bradley Jacox | 46 Nicole Ct, East Haven, CT 06512-1546 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Jeremy S Isaacson | 123 Old Mountain Rd, Farmington, CT 06032-1746 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Jeremy August | 333 W. Olmos, San Antonio, TX 78212 | Physician/surgeon | 2007-01-08 ~ 2007-05-15 |
| Jeremy Ditelberg | 114 Denise Ter, Fairfield, CT 06824-3406 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jeremy A. Spiegel | 14 Kelly Rd, Falmouth, ME 04105-2107 | Physician/surgeon | 2012-09-24 ~ 2013-08-31 |
| Jeremy S Breit | 16 Stream Ct, Farmington, CT 06032 | Physician/surgeon | 2005-11-28 ~ 2006-12-31 |
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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).