MONICA M JAIN MD (Credential# 362263) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MONICA M JAIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034601. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 52 Beach Road, Fairfield, CT 06824. The current status is active.
| Licensee Name | MONICA M JAIN MD |
| Credential ID | 362263 |
| Credential Number | CSP.0034601 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
52 Beach Road Fairfield CT 06824 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-02-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559632 | 1.042050 | Physician/Surgeon | 2003-12-11 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 52 BEACH ROAD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Owen B Schneider | 52 Beach Road, Fairfield, CT 06824 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Angela C Candelaria | 52 Beach Road, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rahul S Anand Md | 52 Beach Road, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anca Bazile | 52 Beach Road, Fairfield, CT 06824 | Dentist | 2010-05-01 ~ 2011-04-30 |
| Peter J Molinaro | 52 Beach Road, Fairfield, CT 06430 | Physician/surgeon | 1998-09-21 ~ 1999-11-30 |
| Reuben Ravden | 52 Beach Road, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Subin Jain | 33 Highland St, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 1995-11-07 ~ 1997-02-28 |
| Pavan Jain | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Mohit Jain Md | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nishank Jain | 24 Park Pl Apt 10h, Hartford, CT 06106-5023 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Neeraj Jain | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vanita K Jain | 34 Maple St, Norwalk, CT 06850-3894 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kamla T Jain Md | 9-a Erin St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Padam C Jain | 9 Shepard Rd, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Sachin Jain | 1172 Chapel St # B1, New Haven, CT 06511-4818 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Arun Jain | 1901 Lafayette Rd Ste 100, Crawfordsville, IN 47933 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
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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).