SALIL G JACOB MD (Credential# 294540) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.
SALIL G JACOB MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031687. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2002. The expiration date is February 28, 2003. The business address is 12 Corbin Rd, Hamden, CT 06517. The current status is inactive.
| Licensee Name | SALIL G JACOB MD |
| Credential ID | 294540 |
| Credential Number | CSP.0031687 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
12 Corbin Rd Hamden CT 06517 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2002-03-01 |
| Expiration Date | 2003-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 557601 | 1.040018 | Physician/Surgeon | 2001-11-29 | 2001-11-29 - 2002-11-30 | INACTIVE |
| Street Address | 12 CORBIN RD |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia K Godfrey | 12 Corbin Rd, Hamden, CT 06517-2907 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | HAMDEN |
| Zip Code | 06517 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Salil Shukla Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Salil Mathew | 34 Maple Street, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stanley Jacob | 201 Kyles Way, Shelton, CT 06484-6621 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacob I Hentel Md | 122 Ridgeview Rd, Poughkeepsie, NY 12603-4264 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jacob J Rauchwerger Md | 334 Marlborough Rd, Cedarhurst, NY 11516-1113 | Controlled Substance Registration for Practitioner | 2009-03-02 ~ 2011-02-28 |
| Jacob C Nafziger | 49 Lake Dr S, New Fairfield, CT 06812-3510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jobey A. Jacob Md | 11 Whipporwill Dr, Shelton, CT 06484-5900 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dexter D Jacob | 129 York St Apt 5a, New Haven, CT 06511-5605 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jacob P Hauptman Pa-c | 244 Edwards St Apt 5, New Haven, CT 06511-3732 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Samuel Jacob | 574 Central Ave Apt 3a, New Haven, CT 06515-2154 | Controlled Substance Registration for Practitioner | 2011-08-29 ~ 2013-02-28 |
Please comment or provide details below to improve the information on SALIL G JACOB 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).