JEROME ENNIS (Credential# 541419) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 22, 2007. The license expiration date date is October 31, 2008. The license status is INACTIVE.
JEROME ENNIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015269. The credential type is physician/surgeon. The effective date is October 22, 2007. The expiration date is October 31, 2008. The business address is 128 Knibloe Hill Rd, Sharon, CT 06069. The current status is inactive.
| Licensee Name | JEROME ENNIS |
| Credential ID | 541419 |
| Credential Number | 1.015269 |
| Credential Type | Physician/Surgeon |
| Business Address |
128 Knibloe Hill Rd Sharon CT 06069 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1972-01-05 |
| Effective Date | 2007-10-22 |
| Expiration Date | 2008-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 128 KNIBLOE HILL RD |
| City | SHARON |
| State | CT |
| Zip Code | 06069 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angela D Cain | Po Box 1035, Sharon, CT 06069 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Isaac L Barnett | 430 Cornwall Bridge Rd., Sharon, CT 06069 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Rebecca W Malone Aprn | 29 Hospital Hill Rd Suite 1400, Sharon, CT 06069 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michele W Pastre | Po Box 883, Sharon, CT 06069 | Real Estate Salesperson | 2020-06-17 ~ 2021-05-31 |
| Scot P Samuelson | 41 Keeler Rd, Sharon, CT 06069 | Architect | 2020-08-01 ~ 2021-07-31 |
| Julie B Einhorn | 28 Upper Main Street, Sharon, CT 06069 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mary T Kirby | 100 Cornwall Bridge Rd, Sharon, CT 06069 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Roseanne Mckinnon · Drumm | 200 Cornwall Brdg R, Sharon, CT 06069 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Samuel N Fitzgerald | 71 Hooperfields Dr, Sharon, CT 06069 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Diane O Valentine | 240 W. Cornwall Road, Sharon, CT 06069 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06069 | |||
| City | SHARON |
| Zip Code | 06069 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHARON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David T Ennis | 1838 Commerce St, Yorktown Heights, NY 10598-4400 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Francis A Ennis Jr. | Orthopaedic & Neurosurgery Specialists, Pllc, Greenwich, CT 06831 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ennis Management LLC · Robert L Ennis Jr | 546 South Broad St 2f, Meriden, CT 06450 | Community Association Manager | 2002-02-01 ~ 2003-01-31 |
| Ennis Management LLC | 546 South Broad St #2f, Meriden, CT 06450 | Home Improvement Contractor | 1998-08-26 ~ 1998-11-30 |
| Robert L Ennis Jr · Ennis Property Management | 106 Woodhouse Ave, Wallingford, CT 06492 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Jerome A Logan | First Health, Scottsdale, AZ 85251-1223 | Physician/surgeon | 1999-10-13 ~ 2000-12-31 |
| Michel Paley | 36 Jerome Ave, New Rochelle, NY 10804-3804 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| Jerome M Auerbach Md | 610 North St, Pittsfield, MA 01201 | Physician/surgeon | 2006-09-19 ~ 2007-10-31 |
| Jerome M Shevell | 51 Aberfoyle Rd, New Rochelle, NY 10804 | Physician/surgeon | 1996-02-14 ~ 1997-04-30 |
| Jerome K Freedman Md | 209 Winant Road, Princeton, NJ 08540 | Physician/surgeon | 1998-03-04 ~ 1999-03-31 |
Please comment or provide details below to improve the information on JEROME ENNIS.
| 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).