STUART A JACOBSON MD (Credential# 546188) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
STUART A JACOBSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026798. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 3851 Main St, Bridgeport, CT 06606. The current status is active.
| Licensee Name | STUART A JACOBSON MD |
| Credential ID | 546188 |
| Credential Number | 1.026798 |
| Credential Type | Physician/Surgeon |
| Business Address |
3851 Main St Bridgeport CT 06606 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1985-09-19 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155363 | CSP.0013565 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 3851 main st |
| City | bridgeport |
| State | CT |
| Zip Code | 06606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| New Era Rehabilitation Center Inc. · New Era Rehabilitation Center, Inc. | 3851 Main St, Bridgeport, CT 06606-2864 | Psychiatric Outpatient Clinic | 2018-08-02 ~ 2022-06-30 |
| Christina M Kolade | 3851 Main St, Bridgeport, CT 06606 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Pizza Heaven | 3851 Main St, Bridgeport, CT 06606-2864 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angela Huestipa · La Fonda Restaurant | 3851 Main St, Bridgeport, CT 06606-2864 | Restaurant Liquor | 2019-12-28 ~ 2021-04-27 |
| Luz Ramirez · Costa Del Sol | 3851 Main St, Bridgeport, CT 06606-2864 | Restaurant Liquor | 2016-05-26 ~ 2017-05-21 |
| Saunie M Andre · Tatane Restaurant | 3851 Main St, Bridgeport, CT 06606-2864 | Restaurant Wine & Beer | 2013-01-22 ~ 2014-01-11 |
| Patrick Mcbroom Md | 3851 Main St, Bridgeport, CT 06606 | Physician/surgeon | 1999-10-06 ~ 2000-11-30 |
| W H Academy of Karate · Jmc Karate Inc | 3851 Main St, Bridgeport, CT 06606 | Martial Arts Health Club | 1999-04-05 ~ 1999-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | bridgeport |
| Zip Code | 06606 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + bridgeport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carla M Jacobson-kiel · Jacobson | 35 Minister Brook Dr, Simsbury, CT 06070 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Leah B. Jacobson | 37 Birch Dr, Katonah, NY 10536-3840 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
| Harvey Jacobson | 12 Alden Ave, New Haven, CT 06515 | Physician/surgeon | 1995-08-22 ~ 1996-08-31 |
| Eric Jacobson | 313 Den Road, Stamford, CT 06903 | Physician/surgeon | 2002-04-23 ~ 2003-05-31 |
| Mark I Jacobson | 15 Dogwood Ln, Pomona, NY 10970-3314 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jeffrey M. Jacobson | 7 Erie Ave, Hornell, NY 14843-1909 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
| Edward Jacobson | 1 Perryridge Rd, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Caron A Jacobson | 18 Ludwig Rd, Needham Heights, MA 02494-1020 | Physician/surgeon | 2015-06-01 ~ 2016-05-31 |
| Devon Jacobson | 76 Perry Street, Putnam, CT 06260 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).