JACK E LEVINE (Credential# 557625) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 6, 2003. The license expiration date date is April 30, 2004. The license status is INACTIVE.
JACK E LEVINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040042. The credential type is physician/surgeon. The effective date is March 6, 2003. The expiration date is April 30, 2004. The business address is 6 Nancy Lane, Chappaqua, NY 10514. The current status is inactive.
| Licensee Name | JACK E LEVINE |
| Credential ID | 557625 |
| Credential Number | 1.040042 |
| Credential Type | Physician/Surgeon |
| Business Address |
6 Nancy Lane Chappaqua NY 10514 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-12-11 |
| Effective Date | 2003-03-06 |
| Expiration Date | 2004-04-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 6 Nancy Lane |
| City | Chappaqua |
| State | NY |
| Zip Code | 10514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jack E Levine Md | 6 Nancy Lane, Chappaqua, NY 10514 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
| Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
| John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
| Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10514 | |||
| City | Chappaqua |
| Zip Code | 10514 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Chappaqua |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eli S Levine Md | 224 Gleneagles Cir, Broussard, LA 70518 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Alyson Levine | 9 Ann Lane, Rye, NY 10580 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Jonathan L Levine Md | 4 Shaws Cv Ste 204, New London, CT 06320-4956 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Julius E Levine | 125 Kohary Dr, New Haven, CT 06515 | Physician/surgeon | 1989-12-19 ~ 1990-08-28 |
| Abraham I Levine | 26 Wilson Ave, Rowayton, CT 06853 | Physician/surgeon | 1996-10-01 ~ 1997-10-31 |
| Amir Levine Md | 993 Amsterdam Ave., New York, NY 10025 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Jedd F Levine Md | 84 Prospect St, Litchfield, CT 06759 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Daniel W Levine | 19 Meadowlark Rd Fl 3, Rye Brook, NY 10573-1209 | Physician/surgeon | 2016-01-27 ~ 2016-07-31 |
| Herbert Levine Md | 32 Washington St, Middletown, CT 06457 | Physician/surgeon | 1998-09-28 ~ 1999-09-30 |
| Levine & Levine Co Inc | 120 Lebanon Ave, Colchester, CT 06415 | Closing Out Sale | 1996-08-22 ~ 1996-11-22 |
Please comment or provide details below to improve the information on JACK E LEVINE.
| 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).