JENNIFER LAX MD (Credential# 554929) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 16, 2003. The license expiration date date is February 29, 2004. The license status is INACTIVE.
JENNIFER LAX MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037339. The credential type is physician/surgeon. The effective date is May 16, 2003. The expiration date is February 29, 2004. The business address is 23 Old Stone Bridge Rd, Cos Cob, CT 06807-1511. The current status is inactive.
| Licensee Name | JENNIFER LAX MD |
| Credential ID | 554929 |
| Credential Number | 1.037339 |
| Credential Type | Physician/Surgeon |
| Business Address |
23 Old Stone Bridge Rd Cos Cob CT 06807-1511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-10-23 |
| Effective Date | 2003-05-16 |
| Expiration Date | 2004-02-29 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 198472 | CSP.0027536 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-05-16 - 2004-02-28 | INACTIVE |
| Street Address | 23 OLD STONE BRIDGE RD |
| City | COS COB |
| State | CT |
| Zip Code | 06807-1511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly P Stanislavsky | 23 Old Stone Bridge Rd, Cos Cob, CT 06807 | Real Estate Salesperson | 2007-07-20 ~ 2008-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joel M Blumberg | 59 Old Stone Bridge Rd, Cos Cob, CT 06807-1511 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Morris Finkelstein Md | 19 Old Stone Bridge Rd, Cos Cob, CT 06807-1511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Song Ie Lee | 2 Relay Pl, Cos Cob, CT 06807 | Esthetician | ~ |
| Judith G Rein | 444 Cognewaugh Road, Cos Cob, CT 06807 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Beacon Point Marine | 49 River Rd, Cos Cob, CT 06807 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Liliane Henry | 70 Cos Cob Street Apt 2, Greenwich, CT 06807 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Jo L Whelan | 22 Barton Lane, Cos Cob, CT 06807 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Frank A Cantavero | 90 Valley Road, Cos Cob, CT 06807 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Dominick J Mancuso | 20 Robertson Lane, Cos Cob, CT 06807 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen M Fillion | 34 1/2 River Rd, Cos Cob, CT 06807 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-13 ~ 2021-09-30 |
| Margaret A Phillips | 2 Waterfall Lane, Cos Cob, CT 06807 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Joyce Somm | 12 River Lane, Cos Cob, CT 06807 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Find all Licenses in zip 06807 | |||
| City | COS COB |
| Zip Code | 06807 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + COS COB |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer L Yeh Md | 4 Smith Dr, Savannah, GA 31406-6441 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Jennifer H. Kuo | 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 | Physician/surgeon | ~ |
| Jennifer L Bau | 1 Guthrie Sq, Sayre, PA 18840-1625 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Jennifer R Lee Md | 85 Viscount Dr#8c, Milford, CT 06460 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Jennifer F Cross | 19 W Brookside Dr, Larchmont, NY 10538 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
| Jennifer Mcniff | 35 Marshall Ave, Guilford, CT 06437 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jennifer J Wheler | 33 Hubinger St, New Haven, CT 06511-4034 | Physician/surgeon | 2005-05-31 ~ 2006-05-31 |
| Jennifer Mcquiston | 23134 Newcut Rd, Clarksburg, MD 20871-9377 | Physician/surgeon | ~ |
| Jennifer Rebecca Hill | 51-53 Kenosia Ave, Danbury, CT 06810 | Physician/surgeon | ~ |
| Jennifer B Gruen | 323 Riverside Ave, Westport, CT 06880-4810 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JENNIFER LAX 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).