JASON L PORT (Credential# 558898) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 2, 2003. The license expiration date date is February 28, 2017. The license status is PENDING.
JASON L PORT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041315. The credential type is physician/surgeon. The effective date is April 2, 2003. The expiration date is February 28, 2017. The business address is 85 Seymour St Ste 200, Hartford, CT 06106-5509. The current status is pending.
| Licensee Name | JASON L PORT |
| Credential ID | 558898 |
| Credential Number | 1.041315 |
| Credential Type | Physician/Surgeon |
| Business Address |
85 Seymour St Ste 200 Hartford CT 06106-5509 |
| Business Type | INDIVIDUAL |
| Status | PENDING - PENDING |
| Issue Date | 2003-04-02 |
| Effective Date | 2003-04-02 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2020-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1074075 | CSP.0052484 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-06-08 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 85 SEYMOUR ST STE 200 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-5509 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lindsey Carlisle Williams | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patrick C Malloy Md | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | Controlled Substance Registration for Practitioner | 2015-09-08 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | HARTFORD |
| Zip Code | 06106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yu Kan Au | 23 Texaco Ave, Port Jefferson, NY 11777 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alexandra Yu-yin Haw | 23 Texaco Ave Apt 201, Port Jefferson, NY 11777-2243 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Adnan Mir | 100 Midland Ave, Port Chester, NY 10573 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sheeba Ben | 467 Westchester Ave, Port Chester, NY 10573 | Physician/surgeon | 2003-08-26 ~ 2004-01-31 |
| Jason A Remick | 6 Ward Ave, Audubon, NJ 08106-1918 | Physician/surgeon | ~ |
| Jason Sperling | 1 Columbia St Ste 300, Poughkeepsie, NY 12601-3924 | Physician/surgeon | ~ |
| Jason Shapiro | 35 Leicester Way, Pawtucket, RI 02860-5609 | Physician/surgeon | ~ |
| Jason D Beck | 207 Sunset Dr, Lucedale, MS 39452-3620 | Physician/surgeon | ~ |
| Jason Deutsch | 285 Lafayette St, New York, NY 10012 | Physician/surgeon | ~ |
| Jason C. Chen | 35 River Rd, Cos Cob, CT 06807-2759 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
Please comment or provide details below to improve the information on JASON L PORT.
| 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).