DAVID S JACOBS (Credential# 564916) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DAVID S JACOBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047334. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236. The current status is active.
Licensee Name | DAVID S JACOBS |
Credential ID | 564916 |
Credential Number | 1.047334 |
Credential Type | Physician/Surgeon |
Business Address |
300 Westage Business Ctr Dr Ste 280 Fishkill NY 12524-2236 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2009-02-02 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-02-20 |
Street Address | 300 WESTAGE BUSINESS CTR DR STE 280 |
City | FISHKILL |
State | NY |
Zip Code | 12524-2236 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ethiopia Teferra | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Marc Jouandet | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Ruth Holliday | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Bolivia T Davis | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Sungkee S Ahn | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Corey E. J. Golding | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Mykola Mohuchy | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
David T Vanson | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Kenneth M Nalaboff | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Janet L Amundson | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephen Herbert Hooper | 1505 Max Way, Fishkill, NY 12524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Catherine Artigas | 4b Rosilia Ln, Fishkill, NY 12524 | Master's Level Social Worker | ~ |
Bernard J Lanza | 105 Cherrywood Dr, Fishkill, NY 12524 | Architect | 2020-08-01 ~ 2021-07-31 |
Jacqueline Ann Morris | 7 Rega Road, Fishkill, NY 12524 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Erica Palmiero | 21 Hilltop Circle, Fishkill, NY 12524 | Registered Nurse | 2020-04-17 ~ 2021-03-31 |
Chelsea A Bera | 71 Lyndon Road, Fishkill, NY 12524 | Behavior Analyst | 2020-03-27 ~ 2021-01-31 |
Georgia V Del Vecchio | 221 Smithtown Road, Fishkill, NY 12524 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Aaron Ulrich | 4 Locust Court, Fishkill, NY 12524 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
Katrina Wuersching | 11 Field Court, Fishkill, NY 12524 | Licensed Practical Nurse | ~ |
Mariam Soliman | 90 Watch Hill Drive, Fishkill, NY 12524 | Registered Nurse | ~ |
Find all Licenses in zip 12524 |
City | FISHKILL |
Zip Code | 12524 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + FISHKILL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
Lloydine J Jacobs | 110 E. Ridgewood Ave, Paramus, NJ 07652 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Larry E. Jacobs | 234 Fountain St, New Haven, CT 06515-1915 | Physician/surgeon | 1985-07-29 ~ 1987-12-31 |
Samuel Jacobs | 21 E Lake Cir, Medford, NJ 08055-3440 | Physician/surgeon | 1988-05-13 ~ 1990-12-31 |
Helene R Jacobs | 706 Eleventh Ave, Huntington, WV 25701 | Physician/surgeon | 1996-11-18 ~ 1997-10-31 |
Jessica P Jacobs Md | 83 Clinton St, Gouverneur, NY 13642-1039 | Physician/surgeon | 2010-06-15 ~ 2011-03-31 |
Michael I Jacobs | 407 E 70th St, New York, NY 10021 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
Scott R Berger | 62 Jacobs Hill Rd, Mansfield, CT 06250 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Benjamin Jacobs May | 202 Rock Creek Ln, Scarsdale, NY 10583-7417 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Janis D Cooley-jacobs Md | 299 Washington Ave, Hamden, CT 06525 | Physician/surgeon | 1999-05-26 ~ 2000-05-31 |
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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).