JEFFREY A VERNON
Physician/surgeon


Address: 150 55th St, Brooklyn, NY 11220-2508

JEFFREY A VERNON (Credential# 565534) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.

Business Overview

JEFFREY A VERNON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047952-DO. The credential type is physician/surgeon. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 150 55th St, Brooklyn, NY 11220-2508. The current status is inactive.

Basic Information

Licensee Name JEFFREY A VERNON
Credential ID 565534
Credential Number 1.047952-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 150 55th St
Brooklyn
NY 11220-2508
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-07-08
Effective Date 2016-04-01
Expiration Date 2017-03-31
Refresh Date 2017-07-04

Other licenses

ID Credential Code Credential Type Issue Term Status
923294 CSP.0047466 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-04-12 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 150 55TH ST
City BROOKLYN
State NY
Zip Code 11220-2508

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City BROOKLYN
Zip Code 11220
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BROOKLYN

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Dataset Information

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).

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