JACQUELINE ORTIZ-SKENDERIDIS (Credential# 1166273) 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.
JACQUELINE ORTIZ-SKENDERIDIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054761. 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 32 Cherry Brook Rd, Canton, CT 06019. The current status is active.
| Licensee Name | JACQUELINE ORTIZ-SKENDERIDIS |
| Credential ID | 1166273 |
| Credential Number | CSP.0054761 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
32 Cherry Brook Rd Canton CT 06019 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-06-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 567950 | 10.063940 | Registered Nurse | 2000-07-25 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 1165610 | 12.005364 | Advanced Practice Registered Nurse | 2013-06-04 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 32 CHERRY BROOK RD |
| City | CANTON |
| State | CT |
| Zip Code | 06019 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06019 | |||
| City | CANTON |
| Zip Code | 06019 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CANTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fernando L Ortiz | 37 Fieldstone Rd, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 1994-04-06 ~ 1995-12-01 |
| Martin Ortiz | 644 W Putnam Ave, Greenwich, CT 06830-6088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Ortiz-schwartz | 126 Gary Rd, Stamford, CT 06903-4829 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole Eddy Ortiz | 326 Washington St, Norwich, CT 06360-2740 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin Ortiz | 40 Cross Street, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Edgardo Ortiz Nieves | 288 West Ave, Stamford, CT 06902-6355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth C Ortiz | 400 Blake St Apt 3410, New Haven, CT 06515-4415 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Alejandro Ortiz-burgos Md | 100 Jefferson Sq #7a, Waterbury, CT 06702 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Maria Theresa Panlilio - Ortiz | 38 Woodland Ave, Binghamton, NY 13903-3340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paula Andrea Ortiz | 8 Norden Place, Norwalk, CT 06855 | 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).