JAY A KIMMEL (Credential# 549332) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is APPROVED.
JAY A KIMMEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031614. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 1000 Asylum Ave Ste 2126, Hartford, CT 06105-1719. The current status is approved.
| Licensee Name | JAY A KIMMEL |
| Credential ID | 549332 |
| Credential Number | 1.031614 |
| Credential Type | Physician/Surgeon |
| Business Address |
1000 Asylum Ave Ste 2126 Hartford CT 06105-1719 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 1991-06-07 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159470 | CSP.0019236 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1000 Asylum Ave Ste 2126 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1719 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David M Kruger | 1000 Asylum Ave Ste 2126, Hartford, CT 06105-1719 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Matthew J Grosso | 1000 Asylum Ave Ste 2126, Hartford, CT 06105-1719 | Physician/surgeon | 2020-04-21 ~ 2021-03-31 |
| Alaina M Petracca | 1000 Asylum Ave Ste 2126, Hartford, CT 06105-1719 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Marci A Mcallister | 1000 Asylum Ave Ste 2126, Hartford, CT 06105-1718 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Allen Berkowitz | 1000 Asylum Ave Ste 2126, Hartford, CT 06105-1719 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Mcavoy Pa | 1000 Asylum Ave Ste 2126, Hartford, CT 06105-1718 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jameela R Fulton Dpm | 1000 Asylum Ave Ste 2126, Hartford, CT 06105-1719 | Podiatrist | 2014-05-01 ~ 2015-04-30 |
| Payal G Patel | 1000 Asylum Ave Ste 2126, Hartford, CT 06105-1719 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristofer A. Bagdasarian | 1000 Asylum Ave Ste 2120, Hartford, CT 06105-1719 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mansour Afshani | 1000 Asylum Ave Ste 2102, Hartford, CT 06105-1719 | Controlled Substance Registration for Practitioner | 2017-03-22 ~ 2019-02-28 |
| Chaitanya S. Chandravanka Md | 1000 Asylum Ave Ste 2109a, Hartford, CT 06105-1719 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Todd W Mailly Md | 1000 Asylum Ave Ste 2109, Hartford, CT 06105-1719 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jennifer Stern-hagen Cnm | 114 Woodland St, Hartford, CT 06105-1719 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Kristine M O'hara Md | 1000 Asylum Ave Ste 2109a, Hartford, CT 06105-1719 | Controlled Substance Registration for Practitioner | 2013-03-20 ~ 2015-02-28 |
| Suzanne L Weekley Aprn | 1000 Asylum Ave Ste 2109, Hartford, CT 06105-1719 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Thomas A Schwann Md | 1000 Asylum Ave Ste 2109a, Hartford, CT 06105-1719 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark J Kimmel | 107 Willow Oak Way, Palm Coast, FL 32137-6930 | Physician/surgeon | 2019-03-01 ~ 2020-02-29 |
| Robert M. Kimmel Jr. | 64 Robbins Street, Waterbury, CT 06708 | Resident Physician | 2016-06-28 ~ 2021-06-27 |
| Sidney Kimmel Cancer Center | 10835 Altman Row, San Diego, CA 92121 | Public Charity | ~ |
| Kimmel Four Blocks Collection Mendocino County Chardonnay | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2013-11-20 ~ 2016-11-19 |
| Craig P Kimmel | 7 Warren Cir, Lititz, PA 17543-8454 | Architect | 2019-07-12 ~ 2020-07-31 |
| Michael D Kimmel | 16 Cannongate Rd Apt 5, Tyngsboro, MA 01879-1415 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Elliot H Kimmel | 27 Broad St, New London, CT 06320 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Rachel M Kimmel | Po Box 1504, Livingston, MT 59047-5504 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| David W Kimmel | 214 Carey Street, Southington, CT 06489 | Radiographer | 1998-12-28 ~ 2000-02-29 |
| Kimmel A Nacewicz | 105 Knickerbocker Ave., Stamford, CT 06907 | Occupational Therapist | 1999-07-01 ~ 2001-07-31 |
Please comment or provide details below to improve the information on JAY A KIMMEL.
| 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).