RUKMA S JACOB (Credential# 544406) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2011. The license expiration date date is October 31, 2012. The license status is INACTIVE.
RUKMA S JACOB is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022996. The credential type is physician/surgeon. The effective date is November 1, 2011. The expiration date is October 31, 2012. The business address is 19 Welch Rd, North Haven, CT 06473-2844. The current status is inactive.
| Licensee Name | RUKMA S JACOB |
| Credential ID | 544406 |
| Credential Number | 1.022996 |
| Credential Type | Physician/Surgeon |
| Business Address |
19 Welch Rd North Haven CT 06473-2844 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1981-07-22 |
| Effective Date | 2011-11-01 |
| Expiration Date | 2012-10-31 |
| Refresh Date | 2013-02-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159341 | CSP.0017219 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-02 - 2005-02-28 | INACTIVE |
| Street Address | 19 WELCH RD |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-2844 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rukma Mirchandani | 450 East 63rd St 8l, New York, NY 10021 | Physician/surgeon | 1994-09-01 ~ 1995-08-31 |
| Jacob Hen Jr | 745 Stratfield Rd, Fairfield, CT 06825-1650 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jacob T Chachkes | 110 South Ave, New Canaan, CT 06840 | Physician/surgeon | 2001-02-27 ~ 2002-05-21 |
| Jacob H Lubchansky | 27 Broad St, New London, CT 06320 | Physician/surgeon | 1981-01-01 ~ 1981-03-31 |
| Jacob E Crothers | 435 Deering Ave, Portland, ME 04103-4429 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jacob Finestone | 951 E 23rd St, Brooklyn, NY 11210-3621 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jacob-sung Keum | 947 Columbus Ave 3b, New York, NY 10025 | Physician/surgeon | ~ |
| Katherine Jacob | 915 W Exchange Pkwy Ste 160, Allen, TX 75013-7019 | Physician/surgeon | ~ |
| Jacob E Finkelstein | 33 Cedar Street, Rye, NY 10580 | Physician/surgeon | 2000-11-13 ~ 2001-12-31 |
| Jessie K Jacob | 55 Wildway, Bronxville, NY 10708 | Physician/surgeon | 2006-08-24 ~ 2007-09-30 |
Please comment or provide details below to improve the information on RUKMA S JACOB.
| 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).