KEVIN R. JAIN MD (Credential# 990095) 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.
KEVIN R. JAIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049686. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1415 Mill Hill Terrace, Southport, CT 06890. The current status is active.
| Licensee Name | KEVIN R. JAIN MD |
| Credential ID | 990095 |
| Credential Number | 1.049686 |
| Credential Type | Physician/Surgeon |
| Business Address |
1415 Mill Hill Terrace Southport CT 06890 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-04-05 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 992824 | CSP.0049951 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-04-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1415 Mill Hill Terrace |
| City | Southport |
| State | CT |
| Zip Code | 06890 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
| Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06890 | |||
| City | Southport |
| Zip Code | 06890 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Southport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sushil Jain | CT | Physician/surgeon | 1985-10-17 ~ 1987-12-31 |
| Sanjeev Jain | 440 Mix Ave, Hamden, CT 06514 | Physician/surgeon | 2000-08-09 ~ 2001-08-31 |
| Ashika Jain | 550 First Ave, New York City, NY 10016 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Neil Jain | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Dhanpat Jain | 22 Beechwood Rd, Woodbridge, CT 06525-1331 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Rashima Jain | 24 Longacre Dr, Huntington, NY 11743-3966 | Physician/surgeon | 2010-04-06 ~ 2010-08-31 |
| Hira Jain Md | 153 Main St #9, Manchester, CT 06042 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kiren Jain Md | 440 Mix Avenue, Hamden, CT 06514 | Physician/surgeon | 2000-06-09 ~ 2001-06-30 |
| Anudeep Jain | 1415 N Loop W, #240, Houston, TX 77008 | Physician/surgeon | 2019-10-08 ~ 2020-05-31 |
| Sanjay R Jain | 302 Peach Drive, Shreveport, LA 71106 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KEVIN R. JAIN 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).