JON P CARLSON (Credential# 975790) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 10, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
JON P CARLSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049388. The credential type is controlled substance registration for practitioner. The effective date is March 10, 2013. The expiration date is February 28, 2015. The business address is 950 Campbell Ave, West Haven, CT 06516-2770. The current status is inactive.
| Licensee Name | JON P CARLSON |
| Credential ID | 975790 |
| Credential Number | CSP.0049388 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
950 Campbell Ave West Haven CT 06516-2770 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-12-09 |
| Effective Date | 2013-03-10 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 981613 | 1.049469 | Physician/Surgeon | 2011-02-01 | 2014-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 950 CAMPBELL AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-2770 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew H Zegarek | 950 Campbell Ave, West Haven, CT 06516 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Henry J Taylor Iv | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Brittany L Hervey | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Asim Farooq Durrani | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Maureen Mccamley | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Lisa Parikh | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Physician | 2013-06-27 ~ 2021-06-30 |
| Sarah A Nguyen | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2016-07-27 ~ 2021-06-30 |
| Shuba Rodrigues Md | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ervin A Jakab | 950 Campbell Ave, West Haven, CT 06516 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jitendranath Lakshmipathy Do | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura J Davis | 950 Campbell Ave # 240, West Haven, CT 06516-2770 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Elissa Mccarthy | 950 Campbell Ave Bldg 1, West Haven, CT 06516-2770 | Psychologist | 2020-05-01 ~ 2021-04-30 |
| Jeffrey H Kerner | West Haven Va Hospital, West Haven, CT 06516-2770 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Niyati Dhand | 950 Campbell Ave # 151d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2017-07-13 ~ 2019-02-28 |
| Kathleen L Broad | 950 Campbell Ave Rm 151d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Dana R. Saldaitis | 950 Campbell Ave Acsl 11, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip Chui | 950 Campbell Ave Bldg 35a, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gihyun Yoon | 950 Campbell Ave Bldg. 35 151d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roopa Sethi | 950 Campbell Ave # 151-d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy T Carlson | 417 Highland Ave, Waterbury, Ct, CT 06614-5246 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| C Edwin Carlson Md | 129 Mill St, Berlin, CT 06037 | Controlled Substance Registration for Practitioner | ~ |
| Lisa E Carlson | 20 Old Farms Rd, Andover, CT 06232-1028 | Controlled Substance Registration for Practitioner | 2013-01-30 ~ 2015-02-28 |
| David A Carlson | 609 Sherman St, Greensboro, NC 27410-5211 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elise Carlson | 60 Temple St Suite 6a, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert J Carlson Dmd | 645 North Main St, Danielson, CT 06239 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Andrew J Carlson Md | 98 Franklin Road, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ferris G Gorra | 53 Carlson Ridge Rd, New Milford, CT 06776-2935 | Controlled Substance Registration for Practitioner | 2019-03-21 ~ 2021-02-28 |
| Erik J Carlson | Active Orthopaedics PC, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert D. Carlson | 47 E Main St, Stafford Springs, CT 06076-1227 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).