RICHARD JABLOW (Credential# 550761) 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.
RICHARD JABLOW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033162. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 102 Ridge Rd, Bath, ME 04530-4209. The current status is active.
| Licensee Name | RICHARD JABLOW |
| Credential ID | 550761 |
| Credential Number | 1.033162 |
| Credential Type | Physician/Surgeon |
| Business Address |
102 Ridge Rd Bath ME 04530-4209 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-07-23 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 164229 | CSP.0021358 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 102 RIDGE RD |
| City | BATH |
| State | ME |
| Zip Code | 04530-4209 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon K Mc Farland | 149 Front Street, Bath, ME 04530 | Speech and Language Pathologist | 2020-03-01 ~ 2021-02-28 |
| William E Rollins | 472 Middle Street Apt 2, Bath, ME 04530 | Notary Public Appointment | 2001-10-01 ~ 2006-10-31 |
| National Peace Academy Inc | 44 Summer Street, Bath, ME 04530 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Deborah Provencher | 13 Pine Hill Dr, Bath, ME 04530 | Registered Nurse | 2015-09-11 ~ 2016-05-31 |
| Scott P Andresen | 55 Tylers Way, West Bath, ME 04530 | Physical Therapist | 2014-04-01 ~ 2015-03-31 |
| Pauline V Tomany | 1257 Washington St, Bath, ME 04530 | Registered Nurse | 2010-11-01 ~ 2011-10-31 |
| Caitlin M Gabelmann | 1034 Middle Street, Bath, ME 04530 | Registered Nurse | 2008-08-06 ~ 2009-07-31 |
| Dawn A Mareckova | 7 Dike Road, Bath, ME 04530 | Registered Nurse | 2007-06-22 ~ 2008-07-31 |
| Patricia Lee | 981 High St, Bath, ME 04530 | Registered Nurse | 1992-05-27 ~ 1993-05-31 |
| Catherine S Jaquith | 37 Crescent St, Bath, ME 04530 | Nursing Home Administrator | 2003-09-26 ~ 2004-08-31 |
| Find all Licenses in zip 04530 | |||
| City | BATH |
| Zip Code | 04530 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BATH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Noah Jablow | 73 E Maxwell Dr, West Hartford, CT 06107 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Joan B Jablow | 240 South Broadway, Tarrytown, NY 10591 | Registered Nurse | 1995-04-06 ~ 1996-05-31 |
| Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
| Richard W Whitfield | Amc/westpost | Physician/surgeon | 1999-10-12 ~ 2000-11-30 |
| Richard Lee | 163 Third Avenue, New York, NY 10003 | Physician/surgeon | 1997-05-08 ~ 1998-05-31 |
| Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
| Richard W Kim Md | 333 Cedar St, New Haven, CT 06520-8039 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Richard W Long | 316 W 23 Rd., Erie, PA 16502 | Physician/surgeon | 2000-09-05 ~ 2001-09-30 |
| Richard B Knapp | Po Box 13588, R T P, NC 27709 | Physician/surgeon | 1993-12-10 ~ 1994-10-31 |
Please comment or provide details below to improve the information on RICHARD JABLOW.
| 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).