JILL BAREN MD (Credential# 552208) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 26, 1997. The license expiration date date is March 31, 1998. The license status is INACTIVE.
JILL BAREN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034612. The credential type is physician/surgeon. The effective date is February 26, 1997. The expiration date is March 31, 1998. The business address is 19 Buena Vista Drive, Westport, CT 06880. The current status is inactive.
| Licensee Name | JILL BAREN MD |
| Credential ID | 552208 |
| Credential Number | 1.034612 |
| Credential Type | Physician/Surgeon |
| Business Address |
19 Buena Vista Drive Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-06-30 |
| Effective Date | 1997-02-26 |
| Expiration Date | 1998-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161371 | CSP.0023387 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-03-01 - 1997-02-28 | INACTIVE |
| Street Address | 19 BUENA VISTA DRIVE |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Baren Weisse | CT | Liquor Brand Label | 2019-08-08 ~ 2022-08-07 |
| Jill D. Teplensky | P.o. Box 371, Lexington, MA 02420 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jill A Morganstern | 21 Governors Ln, Princeton, NJ 08540-3668 | Physician/surgeon | 2010-02-03 ~ 2010-06-30 |
| Avraham Z Isseroff Md | 39 Jill Ln, Cheshire, CT 06410-3402 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Jill M Winslow Md | 125 Shaw St, New London, CT 06320 | Physician/surgeon | 2008-03-24 ~ 2008-12-31 |
| Jill B Ostrager | 24 Taymil Rd, New Rochelle, NY 10804-2802 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jill D Veber | Po Box 3439, Jackson, WY 83001-3439 | Physician/surgeon | ~ 1988-07-31 |
| Jill Deborah Landis | 30 Doris Ln, Mamaroneck, NY 10543-1000 | Physician/surgeon | ~ |
| Jill G Denowitz | 333 Post Rd W, Westport, CT 06880-4754 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jill Ellyn Zafar | 51 Old Hyde Rd, Weston, CT 06883 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on JILL BAREN MD.
| 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).