JENNIFER R. BENJAMIN MD (Credential# 927489) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.
JENNIFER R. BENJAMIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048747. The credential type is physician/surgeon. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 1313 Washington Street, #210, Boston, MA 02118. The current status is inactive.
| Licensee Name | JENNIFER R. BENJAMIN MD |
| Credential ID | 927489 |
| Credential Number | 1.048747 |
| Credential Type | Physician/Surgeon |
| Business Address |
1313 Washington Street, #210 Boston MA 02118 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-05-24 |
| Effective Date | 2012-05-01 |
| Expiration Date | 2013-04-30 |
| Refresh Date | 2013-08-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 935511 | CSP.0047778 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-06-16 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 1313 washington street, #210 |
| City | Boston |
| State | MA |
| Zip Code | 02118 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martin J Batt · Isgenuity LLC | 500 Harrison Avenue, Suite 5f, Boston, MA 02118 | Architect | 2020-08-01 ~ 2021-07-31 |
| Benjamin Ravelson | 675 Tremont Street, #6, Boston, MA 02118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Samuel M. Hauslaib | 673 Tremont Street, Apartment 8, Boston, MA 02118 | Behavior Analyst | 2020-06-01 ~ 2021-05-31 |
| Steven Arthur Faerstain | 820 Harrison Avenue, Boston, MA 02118 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Ryan Thomas Peterson | 720 Harrison Ave, Dob 9th Floor, Rm 915, Boston, MA 02118 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
| Samuel M Koonce | 580 Tremont Street, Boston, MA 02118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| George C Ballantyne | 22 Worcester Square, Boston, MA 02118 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| William Kendall Bache | 300 Harrison Ave, Boston, MA 02118 | Physician/surgeon | ~ |
| Threehill Capital Partners, LLC | 212 West Springfield Street, Boston, MA 02118 | Securities - Exemptions | 2020-02-24 ~ |
| Flint Program Incorporated | 574 Massachusetts Avenue Apt B 3, Boston, MA 02118 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 02118 | |||
| City | Boston |
| Zip Code | 02118 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Boston |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin Stein | 161 Madison Ave, New York, NY 10016 | Physician/surgeon | ~ |
| Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
| Alexandr N Rafailov Md | 3 Benjamin Rd, Tenafly, NJ 07670-2617 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Benjamin D Mason | 122 Jackson St Apt 1a, Hoboken, NJ 07030-6084 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Benjamin A Hagendorf | 80 Seymour Street, Hartford, CT 06102 | Physician/surgeon | ~ |
| Benjamin J Freda Do | 100 Wason Ave Ste 200, Springfield, MA 01107-1119 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Benjamin D Smith | 39 Ives St #108, Hamden, CT 06518 | Physician/surgeon | 2006-01-30 ~ 2007-03-31 |
| Benjamin Stein | 161 Madison Avenue, New York, NY 10016 | Physician/surgeon | ~ |
| Evan M Benjamin | Ihs Hospital, Zuni, NM 87327 | Physician/surgeon | 1994-03-31 ~ 1995-03-31 |
| Sanford H Benjamin | 23 Hoyt St, Stamford, CT 06905 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
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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).