MARY JURBALA MD (Credential# 541754) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 11, 1999. The license expiration date date is May 31, 2000. The license status is INACTIVE.
MARY JURBALA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016044. The credential type is physician/surgeon. The effective date is March 11, 1999. The expiration date is May 31, 2000. The business address is 17 Briarcliffe Trail, Old Saybrook, CT 06475. The current status is inactive.
| Licensee Name | MARY JURBALA MD |
| Credential ID | 541754 |
| Credential Number | 1.016044 |
| Credential Type | Physician/Surgeon |
| Business Address |
17 Briarcliffe Trail Old Saybrook CT 06475 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1973-05-18 |
| Effective Date | 1999-03-11 |
| Expiration Date | 2000-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 144201 | CSP.0007868 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 - 2000-02-28 | INACTIVE |
| Street Address | 17 BRIARCLIFFE TRAIL |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OLD SAYBROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph A Jurbala | 17 Cimapon Road, Putnam Valley, NY 10579 | Licensed Clinical Social Worker | ~ |
| Mary C. Banda | 72 Lawrence Dr, Longmeadow, MA 01106-1618 | Physician/surgeon | ~ |
| Mary S D Ghaly | Po Box 483, Niantic, CT 06357 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Mary J Minkin | 40 Temple St, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mary A Nicholas | 26 College St, Old Saybrook, CT 06475 | Physician/surgeon | 1992-06-25 ~ 1993-06-30 |
| Mary L Sipski | 299 Longview Rd, Far Hills, NJ 07931 | Physician/surgeon | 2005-06-02 ~ 2006-07-31 |
| Mary Fraga | 26 Clinton Ave, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary Mulcare | 9 Cedarwood Dr, Greenwich, CT 06830-3904 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mary Fiel-gan | 7 Trumbull Ln, Farmington, CT 06032-3061 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mary E Stone | 224 St. Ronan St, New Haven, CT 06511 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
Please comment or provide details below to improve the information on MARY JURBALA 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).