JAY S KLEIN MD (Credential# 421581) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 9, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
JAY S KLEIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038545. The credential type is controlled substance registration for practitioner. The effective date is September 9, 2011. The expiration date is February 28, 2013. The business address is 66 Mountain Peak Rd, Chappaqua, NY 10514. The current status is inactive.
| Licensee Name | JAY S KLEIN MD |
| Credential ID | 421581 |
| Credential Number | CSP.0038545 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
66 Mountain Peak Rd Chappaqua NY 10514 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-11-15 |
| Effective Date | 2011-09-09 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551692 | 1.034093 | Physician/Surgeon | 1994-10-07 | 2011-08-01 - 2012-07-31 | INACTIVE |
| Street Address | 66 MOUNTAIN PEAK RD |
| City | CHAPPAQUA |
| State | NY |
| Zip Code | 10514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
| Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
| John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
| Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10514 | |||
| City | CHAPPAQUA |
| Zip Code | 10514 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHAPPAQUA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie G Klein Md | 2 Crest Ave, Larchmont, NY 10538-1311 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas Klein | 52 Edgewood Way, New Haven, CT 06515-2442 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Gayle Klein | Docplus, Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hilary Klein Md | 230 Deer Run, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey I Klein Md | 11 Alvord Rd, Morristown, NJ 07960-6301 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Richard G Klein | 1 Aspetuck Ave, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Howard Klein Md | 62 Brainard Rd Apt A8, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric Klein Dds | 55 East Ave, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rhonda Klein | 12 Woodcock Ln, Westport, CT 06880-1035 | Controlled Substance Registration for Practitioner | 2019-10-25 ~ 2021-02-28 |
| Stuart J Klein | 227 Church St Apt 6a, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on JAY S KLEIN 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).