JACQUELINE A. HARRIS MD (Credential# 545340) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JACQUELINE A. HARRIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025195. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 33 Baldwin Rd, Newtown, CT 06470-2003. The current status is active.
| Licensee Name | JACQUELINE A. HARRIS MD |
| Doing Business As | CONNECTICUT VALLEY HOSPITAL |
| Credential ID | 545340 |
| Credential Number | 1.025195 |
| Credential Type | Physician/Surgeon |
| Business Address |
33 Baldwin Rd Newtown CT 06470-2003 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1983-11-30 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 160929 | CSP.0020559 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 33 BALDWIN RD |
| City | NEWTOWN |
| State | CT |
| Zip Code | 06470-2003 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly B Oconnor | 12 Grand Place, Newtown, CT 06470-2003 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Vincenzo Torcasio · Natural Aquatics, Vincenzo Torcasio | 13 Baldwin Rd, Newtown, CT 06470-2003 | Swimming Pool Builder - In Ground | 2020-05-01 ~ 2021-04-30 |
| Eva Margaret Vallerie | 3 Baldwin Rd, Newtown, CT 06470-2003 | Hairdresser/cosmetician | 2017-10-06 ~ 2019-10-31 |
| Kyle B O'connor | 25 Baldwin Rd, Newtown, CT 06470-2003 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Patricia A Macinnis | 1 Baldwin Rd, Newtown, CT 06470-2003 | Real Estate Broker | 2018-02-08 ~ 2019-03-31 |
| Chantal A Acosta | 17 Baldwin Rd, Newtown, CT 06470-2003 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melinda R Birch | 9 Baldwin Rd, Newtown, CT 06470-2003 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth J Tardie | 13 Lazybrook Rd, Newtown, CT 06470 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Peter Nagy | 21 Scudder Rd, Newtown, CT 06470 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Cheryl R Schwartz · Nisenbaum | 8 Old Gate Lane, Newtown, CT 06470 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Isabel Da Rocha | 143 Hanover Road, Newtown, CT 06470 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Courtney M Parker | 153 Boggs Hill Rd, Newtown, CT 06470 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ryan S Doss | 12 Hundred Acres Rd, Newtown, CT 06470 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael B Manes | 21 Aunt Park Ln, Newtown, CT 06470 | Architect | 2020-08-01 ~ 2021-07-31 |
| Real Food Share, Inc. · Real Food Share, Inc. Real Food Share | 11 Orchard Hill Rd, Newtown, CT 06470 | Public Charity | 2020-06-25 ~ 2021-11-30 |
| My Place Pizzeria | 8 Queen St, Newtown, CT 06470 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kiera Elizabeth Elkow | 3 Fox Run Lane, Newtown, CT 06470 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06470 | |||
| City | NEWTOWN |
| Zip Code | 06470 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEWTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Roger M Harris | P.o. Box 714, Hartsdale, NY 10530 | Physician/surgeon | 1987-05-01 ~ 1990-03-31 |
| Cory Harris | Po Box 332, Bloomfield, CT 06002-0332 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Lynda M Smith-harris | 56 Clifton Pl, Brooklyn, NY 11238-1302 | Physician/surgeon | ~ |
| H P Harris Jr | 472 Mill Hill Dr, Southport, CT 06490 | Physician/surgeon | 1997-07-15 ~ 1998-08-31 |
| Milton Harris | Rfd 8, Box 1192, 06335, CT | Physician/surgeon | 1971-12-06 ~ |
| Mark P Harris | P.o. Box 6717, Vacaville, CA 95696 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Darcy A Harris | 41 Sconset Dr, Fairfield, CT 06824-3853 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Stephen N Harris | 84 Heather Dr, New Canaan, CT 06840-5224 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Walter D Harris | 438 Main St, Old Saybrook, CT 06475 | Physician/surgeon | 2003-06-19 ~ 2004-06-30 |
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| 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).