JILL K DENNIS (Credential# 1156104) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 22, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
JILL K DENNIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054436. The credential type is controlled substance registration for practitioner. The effective date is April 22, 2015. The expiration date is February 28, 2017. The business address is 828 River Ave, Providence, RI 02908-1413. The current status is inactive.
| Licensee Name | JILL K DENNIS |
| Credential ID | 1156104 |
| Credential Number | CSP.0054436 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
828 River Ave Providence RI 02908-1413 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Issue Date | 2013-04-02 |
| Effective Date | 2015-04-22 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1144594 | 47.003807 | Veterinarian | 2013-01-22 | 2014-08-01 - 2016-07-31 | INACTIVE |
| 1145823 | 47-TEMP | Veterinarian Temporary Permit | 2013-01-16 | 2013-01-16 - 2013-01-22 | INACTIVE |
| Street Address | 828 RIVER AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-1413 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olivia S Locker | 302 Eaton St, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alexandra Jimenez | 405 Promenade Street, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Juan O Silfa | 15 Amity St., Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Caitlyn M. Bouchard | 685 River Ave, Providence, RI 02908 | Casino Class I Employee | 2019-12-18 ~ 2020-10-31 |
| Brandon Russell Sweet | 38 Durham Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Howard J Sellers | 88 Jewett Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Khonesavanh Misay | 25 Rosebank Avenue, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Alan R Morrison | Providence Va Medical Center, Providence, RI 02908 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Tiffany Acosta | 34 Veazie St 3rd Flr, Providence, RI 02908 | Registered Nurse | ~ |
| Tomas I Perez | 80 Farragut Ave, Providence, RI 02908 | Professional Engineer | 2019-06-21 ~ 2020-01-31 |
| Find all Licenses in zip 02908 | |||
| City | PROVIDENCE |
| Zip Code | 02908 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROVIDENCE |
| 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 S Bogdan | 726 Main St S Ste 57, Woodbury, CT 06798-3735 | 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 Lacy Md | 316 Ogden St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jill T Herring | 15 Andy Ln, Guilford, CT 06437-1094 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jill C Glazewski | 370 Whitney Ave Apt 1, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-22 ~ 2005-02-28 |
| Jill E Colabroy | 25 Florence Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jill M Tanner | 88 Flint St, Trumbull, CT 06611-3110 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sid M Tucker | 29 Jill Rd, Highland Mills, NY 10930-3200 | Controlled Substance Registration for Practitioner | 2019-06-03 ~ 2021-02-28 |
| Jill Park | 19 Woodland St #32, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JILL K DENNIS.
| 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).