JENNIFER C LOGAN MD (Credential# 560940) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JENNIFER C LOGAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043358. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 111 Founders Plz Ste 400, East Hartford, CT 06108-3240. The current status is active.
| Licensee Name | JENNIFER C LOGAN MD |
| Credential ID | 560940 |
| Credential Number | 1.043358 |
| Credential Type | Physician/Surgeon |
| Business Address |
111 Founders Plz Ste 400 East Hartford CT 06108-3240 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-04-27 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 405628 | CSP.0037522 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-05-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 111 FOUNDERS PLZ STE 400 |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108-3240 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John K. Horky | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| John P Volpe Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Matthew Francois Del Guzzo | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Bret F Coughlin Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joshua A Kallen | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Suzanna Poplawski | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Steve Y Lee Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Thomas H Farquhar Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Margaret K Szerejko Md · Jefferson X-ray Group Incorporated | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas D Montgomery | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen K Ohki Md | 16 Colonial Drive North, Bloomfield, CT 06108-3240 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Diana M. James Md | 111 Founders Plz, East Hartford, CT 06108-3240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Delaila Kim Nguyen | 51 Rene St, East Hartford, CT 06108 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Roger G Troie | 36 Brook St, East Hartford, CT 06108 | Optician | 2020-06-01 ~ 2021-05-31 |
| Terry A Osei | 18 Bunker Lane, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lorena M Briceno | 16 Clark Street, East Hartford, CT 06108 | Real Estate Salesperson | ~ |
| Augustine Appiah Mintah | 51 Brook Street, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nicole Bennett | 96 Goodwin Street, East Hartford, CT 06108 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Patricia Siaca-rodriguez | 265 Tolland Street, East Hartford, CT 06108 | Community Companion Home | 2019-04-11 ~ 2020-04-30 |
| Antonio J Matta | 19 Fellows Lane, East Hartford, CT 06108 | Architect | 2020-08-01 ~ 2021-07-31 |
| Shante R Black | 15 Hopewell Street, East Hartford, CT 06108 | Behavior Analyst | ~ |
| Connecticut Granite & Marble LLC | 161 Woodford Ave Lot B Unit. 48, Plainville, CT 06108 | Home Improvement Contractor | 2020-06-22 ~ 2020-11-30 |
| Find all Licenses in zip 06108 | |||
| City | EAST HARTFORD |
| Zip Code | 06108 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EAST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luis A Royer-jerez | Po Box 809, Logan, WV 25601 | Physician/surgeon | 1998-03-09 ~ 1999-02-28 |
| Mark E. Logan | Rd2 Box 8141, Rutland, VT | Physician/surgeon | 1984-01-26 ~ 1986-03-31 |
| Jerome A Logan | First Health, Scottsdale, AZ 85251-1223 | Physician/surgeon | 1999-10-13 ~ 2000-12-31 |
| Logan Jerger | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ruchir K Khurana | 1825 Logan Ave, Waterloo, IA 50703-1916 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Andrea Marconi | 5718 Logan Ln, Houston, TX 77007 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Matthew K Gentile | 13755 S Logan Drive, Orland Park, IL 60462 | Physician/surgeon | ~ 1996-12-31 |
| Logan and Logan Distributors Usa LLC | 10 La Rovera Ter, Ansonia, CT 06401-1555 | Home Improvement Contractor | 2019-12-16 ~ 2020-11-30 |
| Kelsey Logan Md | 300 Farmington Ave Fl 3, Farmington, CT 06032-1913 | Physician/surgeon | 2008-07-18 ~ 2009-08-31 |
| Steven J Logan · Logan Contractors | 29 Pepperbox Rd, Waterford, CT 06385 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
Please comment or provide details below to improve the information on JENNIFER C LOGAN 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).