JACOB W IJDO MD (Credential# 551643) 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 ACTIVE.
JACOB W IJDO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034044. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is Gold Coast University Hospital, Southport, AU 4215. The current status is active.
| Licensee Name | JACOB W IJDO MD |
| Credential ID | 551643 |
| Credential Number | 1.034044 |
| Credential Type | Physician/Surgeon |
| Business Address |
Gold Coast University Hospital Southport AU 4215 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-09-09 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162005 | CSP.0022615 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-12-14 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | Gold Coast University Hospital |
| City | Southport |
| State | AU |
| Zip Code | 4215 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Elizabeth Mengel | 174 Half Mile Rd, Southport, CT 06890-3031 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Brett M Zuckman | 141 Southport Ter, Southport, CT 06890-1493 | Controlled Substance Registration for Practitioner | 2020-06-25 ~ 2021-02-28 |
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Rick T Wahlstedt · Artisan | 275 Old Post Rd, Southport, CT 06890-1305 | Hotel Liquor (50000 Or More Population) | 2019-06-08 ~ 2020-10-07 |
| John Stramaglia | 67 Steep Hill Rd, Southport, CT 06490 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Southport Conservancy Inc | Po Box 744, Southport, CT 06890-0744 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Garelick & Herbs Inc | 3611 Post Rd, Southport, CT 06890-1113 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in Southport | |||
| City | Southport |
| Zip Code | 4215 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Southport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacob Hen Jr | 745 Stratfield Rd, Fairfield, CT 06825-1650 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jacob-sung Keum | 947 Columbus Ave 3b, New York, NY 10025 | Physician/surgeon | ~ |
| Shalini M Jacob | Apt 69d Fairway Dr, Wethersfield, CT 06109 | Physician/surgeon | 1998-05-18 ~ 1999-05-31 |
| Jacob E Finkelstein | 33 Cedar Street, Rye, NY 10580 | Physician/surgeon | 2000-11-13 ~ 2001-12-31 |
| Jacob E Crothers | 435 Deering Ave, Portland, ME 04103-4429 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jacob Finestone | 951 E 23rd St, Brooklyn, NY 11210-3621 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jacob S Kriteman | 83 Herrick St, Beverly, MA 01915 | Physician/surgeon | 2002-11-04 ~ 2003-12-31 |
| Jacob H Lubchansky | 27 Broad St, New London, CT 06320 | Physician/surgeon | 1981-01-01 ~ 1981-03-31 |
| Tyler Jacob Hendricks | 298 5th Ave Fl 7, New York, NY 10001-4522 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Jacob T Chachkes | 110 South Ave, New Canaan, CT 06840 | Physician/surgeon | 2001-02-27 ~ 2002-05-21 |
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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).