JORDAN T DOURMASHKIN PA (Credential# 396125) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
JORDAN T DOURMASHKIN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037037. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 56 Arthur Place, Yonkers, NY 10701. The current status is inactive.
| Licensee Name | JORDAN T DOURMASHKIN PA |
| Credential ID | 396125 |
| Credential Number | CSP.0037037 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
56 Arthur Place Yonkers NY 10701 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-02-16 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743339 | 23.001590 | Physician Assistant | 2005-01-21 | 2010-01-01 - 2010-12-31 | INACTIVE |
| Street Address | 56 ARTHUR PLACE |
| City | YONKERS |
| State | NY |
| Zip Code | 10701 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suzanne Elecia Walters | 50 Riverdale Ave #11l, Yonkers, NY 10701 | Registered Nurse | ~ |
| Claudia Boateng | 95-117 Ravine Avenue, Yonkers, NY 10701 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Peter Altieri | 7 Elaine Terrace, Yonkers, NY 10701 | Barber | 2020-07-01 ~ 2022-06-30 |
| Yuriy Yavdoshnyak | 75 Wickes Ave, Yonkers, NY 10701 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Erika N King | 412 N. Broadway, Yonkers, NY 10701 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Charles J Babcock | 64 Kingston Ave, Yonkers, NY 10701 | Home Inspector | 2017-08-03 ~ 2019-06-30 |
| Shaun Fredrick Darrah | Warburton Ave, Yonkers, NY 10701 | Dentist | ~ |
| Dahlia A Elliott | 43 Stratton Street, Yonkers, NY 10701 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Ivan Markota | 110 Gavin St, Yonkers, NY 10701 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Ashli Toni Marie Harris | 755 Warburton Ave, Yonkers, NY 10701 | Registered Nurse | 2020-03-20 ~ 2021-02-28 |
| Find all Licenses in zip 10701 | |||
| City | YONKERS |
| Zip Code | 10701 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + YONKERS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anjanette D Ferris | 10 Jordan Ln, Unionville, CT 06085-1166 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jordan C Collier | 543 Main St Apt 400, New Rochelle, NY 10801-7264 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sapna Khubchandani Md | 2 Jordan Ln, Unionville, CT 06085-1166 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jordan M Vanlare | 790 Riverside Dr Apt 6l, New York, NY 10032-7437 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
| Jordan C Kawano | 128 Nash St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jordan J. Wong | 204-14 26th Ave., Bayside, NY 11360 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jordan E Phillips | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Peter W Gardner | 92 Jordan Ln, Stamford, CT 06903-3914 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| B Bryan Jordan Do | 55 Wagonwheel Rd, Redding, CT 06896 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Wayne C Paulekas Md | 30 Jordan Ln, Wethersfield, CT 06109-1278 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).