JILLIAN M DIVIESTA
Controlled Substance Registration for Practitioner


Address: 2200 Whitney Ave Ste 360, Hamden, CT 06518-3694

JILLIAN M DIVIESTA (Credential# 1039866) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

JILLIAN M DIVIESTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051634. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 2200 Whitney Ave Ste 360, Hamden, CT 06518-3694. The current status is inactive.

Basic Information

Licensee Name JILLIAN M DIVIESTA
Credential ID 1039866
Credential Number CSP.0051634
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2200 Whitney Ave Ste 360
Hamden
CT 06518-3694
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-11-07
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1034275 23.002675 Physician Assistant 2011-10-27 2013-06-01 - 2014-05-31 INACTIVE

Office Location

Street Address 2200 WHITNEY AVE STE 360
City HAMDEN
State CT
Zip Code 06518-3694

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Anthony Capobianco Pa 2200 Whitney Ave Ste 360, Hamden, CT 06518-3694 Physician Assistant 2020-05-01 ~ 2021-04-30
Benigno Rafael Varela Guerrero 2200 Whitney Ave Ste 360, Hamden, CT 06518-3602 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Latha Alaparthi Md 2200 Whitney Ave Ste 360, Hamden, CT 06518 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Kate Charron Pa 2200 Whitney Ave Ste 360, Hamden, CT 06518-3694 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Deepika Srinivasan 2200 Whitney Ave Ste 360, Hamden, CT 06518-3602 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Kristin E Nolan 2200 Whitney Ave Ste 360, Hamden, CT 06518-3602 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Matthew Wiese Pa 2200 Whitney Ave Ste 360, Hamden, CT 06518 Physician Assistant 2005-05-23 ~ 2006-07-31
Leeanne B Sherwin Aprn 2200 Whitney Ave Ste 360, Hamden, CT 06518 Advanced Practice Registered Nurse 2002-08-20 ~ 2003-09-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
David I Astrachan 2200 Whitney Ave Ste 260, Hamden, CT 06518-3694 Physician/surgeon 2020-05-01 ~ 2021-04-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Barbara Esposito Aprn 209 Todd St, Hamden, CT 06518 Advanced Practice Registered Nurse 2020-08-01 ~ 2021-07-31
Sorrentos Brick Oven Pizzeria 244 Skiff St, Hamden, CT 06518 Bakery 2020-07-01 ~ 2021-06-30
Jenna Bump 61 Cannon St, Hamden, CT 06518 Registered Nurse 2020-07-01 ~ 2021-06-30
Jennifer E Pohl 70 Norwood Avenue, Hamden, CT 06518 Speech and Language Pathologist 2020-07-01 ~ 2021-06-30
Nicole O Miller-tyson 648 Evergreen Ave, Hamden, CT 06518 Registered Nurse 2020-09-01 ~ 2021-08-31
Nancy D Anderson 399 Hillfield Road, Hamden, CT 06518 Speech and Language Pathologist 2020-08-01 ~ 2021-07-31
Flowers From The Farm 1035 Shepard Avenue, Hamden, CT 06518 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Lynda Burke 68 Linden Avenue, Hamden, CT 06518 Notary Public Appointment 2011-12-08 ~ 2016-12-31
Kelly Lynn Huppert 1334 Town Walk Dr, Hamden, CT 06518 Master's Level Social Worker ~
Robert L Engengro 365 Forest Street, Hamden, CT 06518 Real Estate Salesperson 2020-06-23 ~ 2021-05-31
Find all Licenses in zip 06518

Competitor

Search similar business entities

City HAMDEN
Zip Code 06518
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Jillian M Grant 15 Corporate Dr, Trumbull, CT 06611-1351 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Jillian K Ross 926 Greenway Rd, Woodbridge, CT 06525-2413 Controlled Substance Registration for Practitioner 2020-04-24 ~ 2021-02-28
Jillian R Hevey Pa 100 Trilby Ave, Chicopee, MA 01020-1037 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Jillian L Marousek Md 36 Lake Dr, Darien, CT 06820-3121 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Jillian N Gormley 282 Washington St, Hartford, CT 06106-3322 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Jillian M Difazio 225 E 95th St Apt 22b, New York, NY 10128-4007 Controlled Substance Registration for Practitioner 2014-12-12 ~ 2017-02-28
Jillian Leclair Md Mc 2941, Farmington, CT 06030-0001 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Jillian M Kalinchak 159 David Rd, Durham, CT 06422-2601 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Jillian K Joseph 112 Uncatena Ave, Worcester, MA 01606-1814 Controlled Substance Registration for Practitioner 2013-03-25 ~ 2015-02-28
Jillian A Perez 205 Main St, East Haven, CT 06512-3003 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Improve Information

Please comment or provide details below to improve the information on JILLIAN M DIVIESTA.

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).

Trending Searches