ERIC JACOBSON
Physician/surgeon


Address: 313 Den Road, Stamford, CT 06903

ERIC JACOBSON (Credential# 555326) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 23, 2002. The license expiration date date is May 31, 2003. The license status is INACTIVE.

Business Overview

ERIC JACOBSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037736. The credential type is physician/surgeon. The effective date is April 23, 2002. The expiration date is May 31, 2003. The business address is 313 Den Road, Stamford, CT 06903. The current status is inactive.

Basic Information

Licensee Name ERIC JACOBSON
Credential ID 555326
Credential Number 1.037736
Credential Type Physician/Surgeon
Business Address 313 Den Road
Stamford
CT 06903
Business Type INDIVIDUAL
Status INACTIVE - PRIOR DISCIPLINE
Issue Date 1999-05-07
Effective Date 2002-04-23
Expiration Date 2003-05-31
Refresh Date 2009-07-08

Office Location

Street Address 313 DEN ROAD
City STAMFORD
State CT
Zip Code 06903

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Elizabeth A Porcheddu 367 Briar Brae Road, Stamford, CT 06903 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Sarah Elizabeth Woxholdt 65 Cousins Rd, Stamford, CT 06903 Registered Nurse 2020-07-01 ~ 2021-06-30
Cynthia L Castronovo-morabito · Lovallo/cameron 37 Gutzon Borglum Rd, Stamford, CT 06903 Licensed Practical Nurse 2020-08-01 ~ 2021-07-31
Michele1 Sukatski 61 Shady Ln, Stamford, CT 06903 Medication Administration Certification ~
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Competitor

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City STAMFORD
Zip Code 06903
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STAMFORD

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Dataset Information

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).

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