JEREMY GORDON BURKE (Credential# 1004447) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JEREMY GORDON BURKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050553. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 21 Park Dr, Waterford, CT 06385-3426. The current status is active.
| Licensee Name | JEREMY GORDON BURKE |
| Credential ID | 1004447 |
| Credential Number | CSP.0050553 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
21 Park Dr Waterford CT 06385-3426 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-07-21 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1125861 | 1.051523 | Physician/Surgeon | 2012-12-10 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 21 Park Dr |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-3426 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Devin Amelia Appleby | 212 Shore Rd # R, Waterford, CT 06385-3426 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John Lombardi Jr | 198 Shore Rd, Waterford, CT 06385-3426 | Public Weigher | 2020-04-08 ~ 2021-06-30 |
| Vasana Johnson | 228 Shore Rd, Waterford, CT 06385-3426 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Daniel C Nolan | 218 Shore Rd, Waterford, CT 06385-3426 | Emergency Medical Technician | 2016-12-20 ~ 2019-09-30 |
| Brittany N Jamon | 198 Shore Rd, Waterford, CT 06385-3426 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Lombardi Realty LLC | 198 Shore Rd, Waterford, CT 06385-3426 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Christopher Rosas | 40 Ridgewood Ave, Waterford, CT 06385 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Vincent F Donato | 26 Wild Rose Avenue, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Mark A Herter | 51 Quarry Rd, Waterford, CT 06385 | Architect | 2020-08-01 ~ 2021-07-31 |
| Pamela A Manke | 54 Rope Ferry Rd., Waterford, CT 06385 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Carol Winslow | 18 Myrock Ave, Waterford, CT 06385 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Donna M Rivero · Knupp | 3 Ridgewood Ave, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Margaret A Goldschneider · Chapman | 3 High Ridge Drive, Waterford, CT 06385 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Frank R Dellacono Md | 201 Boston Post Road, Waterford, CT 06385 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mathew H Tellier | 25 Locust Ct., Waterford, CT 06385 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
| Renata Kamburi | 16 Marilyn Road, Waterford, CT 06385 | Esthetician | 2020-06-20 ~ 2021-12-31 |
| Find all Licenses in zip 06385 | |||
| City | WATERFORD |
| Zip Code | 06385 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeremy J May | 607 Whitney Ave # 2, New Haven, CT 06511-2218 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jeremy J. Michel | 184 Gravel St Apt 14, Meriden, CT 06450-4660 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jeremy D Marks | 29 Johnsons Pt Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1993-12-20 ~ 1996-01-01 |
| Jeremy D Howarth | 40 Prospect Ave Apt 1-1g, Norwalk, CT 06850-3741 | Controlled Substance Registration for Practitioner | 2013-10-24 ~ 2015-02-28 |
| Jeremy O'connor | 6 Lyon St Apt 3, New Haven, CT 06511-4959 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jeremy D Asnes Md | 333 Cedar St, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeremy Lansford Dmd | 276 Hazard Ave, Enfield, CT 06078 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| James M Burke Dpm | 7 Goodrich Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Evan J Burke | 100 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-04-01 ~ 2021-02-28 |
| Maureen C Burke | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on JEREMY GORDON BURKE.
| 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).