JONATHAN D BECK MD (Credential# 559890) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JONATHAN D BECK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042308. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 11 Old Park Lane Rd, New Milford, CT 06776-2507. The current status is active.
| Licensee Name | JONATHAN D BECK MD |
| Credential ID | 559890 |
| Credential Number | 1.042308 |
| Credential Type | Physician/Surgeon |
| Business Address |
11 Old Park Lane Rd New Milford CT 06776-2507 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-04-08 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 373747 | CSP.0035140 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-06-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 375969 | CSP.0035357 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-07-21 | 2004-07-21 - 2005-02-28 | INACTIVE |
| Street Address | 11 OLD PARK LANE RD |
| City | NEW MILFORD |
| State | CT |
| Zip Code | 06776-2507 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald I Katz | 11 Old Park Lane Rd, New Milford, CT 06776-2507 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christian Leonardi | 11 Old Park Lane Rd, New Milford, CT 06776-2507 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Harold J Kamm Md | 11 Old Park Lane Rd, New Milford, CT 06776-2507 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Justyna Watkowska Md | 11 Old Park Lane Rd, New Milford, CT 06776-2507 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tai Nguyen | 3 Briar Ln, New Milford, CT 06776 | Nail Technician | 2020-06-27 ~ 2022-05-31 |
| Deborah Lee Winter | 22 Morey Road, New Milford, CT 06776 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
| Sega Ready Mix | 519 Danbury Rd, New Milford, CT 06776 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nicole L Lynch | 13 Skyview Drive, New Milford, CT 06776 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Filipe Fialho Fernandes | 14 Wellsville Ave, New Milford, CT 06776 | Tattoo Technician | 2020-06-01 ~ 2022-05-31 |
| Petrela Nail & Spa Inc | 60 Park Lane Road, New Milford, CT 06776 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Carol S Glintenkamp | 12 Saddle Ridge Rd., New Milford, CT 06776 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bradley A Kamp | 11 Saddle Ridge Road, New Milford, CT 06776 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| John W Slattery | 8 West Meetinghouse Rd, New Milford, CT 06776 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Stephen J Ferreira | 123 Washington Ridge Road, New Milford, CT 06776 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Find all Licenses in zip 06776 | |||
| City | NEW MILFORD |
| Zip Code | 06776 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason D Beck | 207 Sunset Dr, Lucedale, MS 39452-3620 | Physician/surgeon | ~ |
| Edgard J. Salazar | 45 Beck Ave, Rye, NY 10580-3703 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Timothy S Beck | 4 Little Pond Dr, Greenville, SC 29607-5479 | Physician/surgeon | 2011-02-23 ~ 2011-05-31 |
| Roger S Beck | 305 Dale Rd, Wethersfield, CT 06109 | Physician/surgeon | 2002-08-26 ~ 2003-10-31 |
| Edith M Beck Md | 6 Lita Dr, Greenwich, CT 06830 | Physician/surgeon | 2000-11-20 ~ 2002-01-31 |
| Andrew Max Beck | 56 Henry Street, Fairfield, CT 06824 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Steven G Beck | 35 Shire Court, Cheshire, CT 06410 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Salman Kazim | 4 Beck Blvd, Unit 13, Ontario, L9M 2H3 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Noa A Beck | 9907 Savona Winds Dr, Delray Beach, FL 33446 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Edward M Beck | Urology Associates of Danbury, Danbury, CT 06810-4012 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on JONATHAN D BECK 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).