JENNILEE A TRINIDAD
Physician/surgeon


Address: 2308 Halsey St, Union, NJ 07083-5133

JENNILEE A TRINIDAD (Credential# 1160460) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2014. The license expiration date date is November 30, 2015. The license status is INACTIVE.

Business Overview

JENNILEE A TRINIDAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052210. The credential type is physician/surgeon. The effective date is December 1, 2014. The expiration date is November 30, 2015. The business address is 2308 Halsey St, Union, NJ 07083-5133. The current status is inactive.

Basic Information

Licensee Name JENNILEE A TRINIDAD
Credential ID 1160460
Credential Number 1.052210
Credential Type Physician/Surgeon
Business Address 2308 Halsey St
Union
NJ 07083-5133
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-07-09
Effective Date 2014-12-01
Expiration Date 2015-11-30
Refresh Date 2016-03-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1174349 CSP.0055393 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-07-15 2013-07-15 - 2015-02-28 INACTIVE

Office Location

Street Address 2308 HALSEY ST
City UNION
State NJ
Zip Code 07083-5133

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Competitor

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City UNION
Zip Code 07083
License Type Physician/Surgeon
License Type + County Physician/Surgeon + UNION

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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).

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