JILL M MAGIONCALDA (Credential# 1048728) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
JILL M MAGIONCALDA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051892. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 153 Valley St Unit 18, South Orange, NJ 07079-2841. The current status is lapsed.
Licensee Name | JILL M MAGIONCALDA |
Credential ID | 1048728 |
Credential Number | CSP.0051892 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
153 Valley St Unit 18 South Orange NJ 07079-2841 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 2012-01-25 |
Effective Date | 2017-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1040723 | 10.103321 | Registered Nurse | 2011-11-29 | 2017-10-01 - 2018-09-30 | INACTIVE |
1040737 | 12.004877 | Advanced Practice Registered Nurse | 2011-11-29 | 2017-10-01 - 2018-09-30 | INACTIVE |
1381161 | 10.137492-TEMP | Registered Nurse - Temporary | 2016-09-27 | 2016-09-27 - 2017-01-24 | INACTIVE |
1040924 | 10.103135-TEMP | Registered Nurse - Temporary | 2011-11-10 | 2011-11-10 - 2012-03-09 | INACTIVE |
1382217 | 12 | Advanced Practice Registered Nurse | - | EXPIRED APPLICATION |
Street Address | 153 VALLEY ST UNIT 18 |
City | SOUTH ORANGE |
State | NJ |
Zip Code | 07079-2841 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paulus Sokolowski & Sartor Arch and Eng Ct PC | 67a Mountain Blvd Ext, Warren, NJ 07079 | Joint Practice | 2019-06-18 ~ 2020-04-30 |
Chad M Gilhousen | 254 Vose Ave, South Orange, NJ 07079 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Clifford M Pomerantz | 20 Brookwood Road, South Orange, NJ 07079 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
Alvin L Marshall | 182 North Woods Dr, S Orange, NJ 07079 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Raymond L Lewis, Jr. | 28 West Third Street, South Orange, NJ 07079 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Nicole Elaine Mckenzie | 171 South Orange Avenue, South Orange, NJ 07079 | Registered Nurse | 2019-03-26 ~ 2019-08-31 |
Sandra L Kaplan | 316 Beech Spring Road, South Orange, NJ 07079 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
David Jablonka | 257 S Ridgewood Rd, S Orange, NJ 07079 | Architect | 2019-08-01 ~ 2020-07-31 |
Patricia A Liroff | 70 Glenview Road, South Orange, NJ 07079 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Paul Eng-wong | 20 Riggs Pl, S Orange, NJ 07079 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
Find all Licenses in zip 07079 |
City | SOUTH ORANGE |
Zip Code | 07079 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH ORANGE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jill L Barron Md | P.o. Box 535, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Jill F. Arthur | 333 Cedar St Tmp 3, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2013-03-21 ~ 2015-02-28 |
Jill K Dennis | 828 River Ave, Providence, RI 02908-1413 | Controlled Substance Registration for Practitioner | 2015-04-22 ~ 2017-02-28 |
Jill M Tanner | 88 Flint St, Trumbull, CT 06611-3110 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Jill Ahluwalia | 500 W Putnam Ave Ste 400, Greenwich, CT 06830-6096 | Controlled Substance Registration for Practitioner | 2019-12-30 ~ 2021-02-28 |
Jill E Moorcroft Do | 279 New Britain Rd Ste 6, Berlin, CT 06037-3165 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jill L Burnes | Po Box 6243, Wolcott, CT 06716-0243 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jill Shannahan Md | 178 Bradley St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
Jill M Mceachern | 7 Waverly Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jill S Bogdan | 726 Main St S Ste 57, Woodbury, CT 06798-3735 | 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).