ANGELINA L JACOBS (Credential# 544820) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ANGELINA L JACOBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023935. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 15 Two Buck Ring, Burlington, CT 06013. The current status is active.
| Licensee Name | ANGELINA L JACOBS |
| Credential ID | 544820 |
| Credential Number | 1.023935 |
| Credential Type | Physician/Surgeon |
| Business Address |
15 Two Buck Ring Burlington CT 06013 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1982-10-15 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 143076 | CSP.0011335 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 15 TWO BUCK RING |
| City | BURLINGTON |
| State | CT |
| Zip Code | 06013 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Obrizzo | 81 W Side Blvd, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gwendolyn A Nowacki | 16 Village Ln, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erinne P Houton | 298 Jerome Ave, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Subway of Burlington | 292 Spielman Hwy, Burlington, CT 06013 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Aneta Gurtowsky | 2 West Ledge Road, Burlington, CT 06013 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Maria L Main | 79 Pine Hill Road, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven T Miles | 26 Angelas Way, Burlington, CT 06013 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Sally A Larsen | 515 Jerome Avenue, Burlington, CT 06013 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Barbara C Grindal | 118 Punch Brook Rd, Burlington, CT 06013 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Insu Kim | 48 Monce Rd, Burlington, CT 06013 | Nail Technician | 2020-06-18 ~ 2022-04-30 |
| Find all Licenses in zip 06013 | |||
| City | BURLINGTON |
| Zip Code | 06013 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BURLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angelina Jacobs | 120 Holcomb Street, Hartford, CT 06112-1589 | Medication Administration Certification | 2016-09-22 ~ 2018-09-21 |
| Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
| Samuel Jacobs | 21 E Lake Cir, Medford, NJ 08055-3440 | Physician/surgeon | 1988-05-13 ~ 1990-12-31 |
| Larry E. Jacobs | 234 Fountain St, New Haven, CT 06515-1915 | Physician/surgeon | 1985-07-29 ~ 1987-12-31 |
| Lloydine J Jacobs | 110 E. Ridgewood Ave, Paramus, NJ 07652 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Michael I Jacobs | 407 E 70th St, New York, NY 10021 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Jessica P Jacobs Md | 83 Clinton St, Gouverneur, NY 13642-1039 | Physician/surgeon | 2010-06-15 ~ 2011-03-31 |
| Helene R Jacobs | 706 Eleventh Ave, Huntington, WV 25701 | Physician/surgeon | 1996-11-18 ~ 1997-10-31 |
| Janis D Cooley-jacobs Md | 299 Washington Ave, Hamden, CT 06525 | Physician/surgeon | 1999-05-26 ~ 2000-05-31 |
| Benjamin Jacobs May | 202 Rock Creek Ln, Scarsdale, NY 10583-7417 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on ANGELINA L JACOBS.
| 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).