JONATHAN L LEVINE MD (Credential# 547768) 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.
JONATHAN L LEVINE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029407. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 4 Shaws Cv Ste 204, New London, CT 06320-4956. The current status is active.
Licensee Name | JONATHAN L LEVINE MD |
Credential ID | 547768 |
Credential Number | 1.029407 |
Credential Type | Physician/Surgeon |
Business Address |
4 Shaws Cv Ste 204 New London CT 06320-4956 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1988-08-26 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
156664 | CSP.0016537 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 4 SHAWS CV STE 204 |
City | NEW LONDON |
State | CT |
Zip Code | 06320-4956 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Frank Mayeda Md | 4 Shaws Cv Ste 204, New London, CT 06320-4956 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kate E Felter | 4 Shaws Cv Ste 204, New London, CT 06320-4956 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael A Lavallee Jr | 4 Shaws Cv, New London, CT 06320-4956 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Joseph Ombalsky Md | 4 Shaws Cv Ste 204/205, New London, CT 06320-4956 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06320 |
City | NEW LONDON |
Zip Code | 06320 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW LONDON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan D Levine | Dept Pathology, Middletown, CT 06457 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Jonathan Alan A Levine | 101 Barnet Street #1, New Haven, CT 06515 | Physician/surgeon | ~ 1999-09-30 |
Alyson Levine | 9 Ann Lane, Rye, NY 10580 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Eli S Levine Md | 224 Gleneagles Cir, Broussard, LA 70518 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
Abraham I Levine | 26 Wilson Ave, Rowayton, CT 06853 | Physician/surgeon | 1996-10-01 ~ 1997-10-31 |
Daniel W Levine | 19 Meadowlark Rd Fl 3, Rye Brook, NY 10573-1209 | Physician/surgeon | 2016-01-27 ~ 2016-07-31 |
Julius E Levine | 125 Kohary Dr, New Haven, CT 06515 | Physician/surgeon | 1989-12-19 ~ 1990-08-28 |
Amir Levine Md | 993 Amsterdam Ave., New York, NY 10025 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
Herbert Levine Md | 32 Washington St, Middletown, CT 06457 | Physician/surgeon | 1998-09-28 ~ 1999-09-30 |
Jedd F Levine Md | 84 Prospect St, Litchfield, CT 06759 | 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).