MARY JEPSON (Credential# 1182025) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 28, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
MARY JEPSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056023. The credential type is controlled substance registration for practitioner. The effective date is August 28, 2013. The expiration date is February 28, 2015. The business address is 3826 Ne 10th Ave, Portland, OR 97212-1219. The current status is inactive.
| Licensee Name | MARY JEPSON |
| Credential ID | 1182025 |
| Credential Number | CSP.0056023 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3826 Ne 10th Ave Portland OR 97212-1219 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-08-28 |
| Effective Date | 2013-08-28 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1184080 | 12.005540 | Advanced Practice Registered Nurse | 2013-09-13 | 2013-11-01 - 2014-10-31 | INACTIVE |
| 1025984 | 10.102503 | Registered Nurse | 2011-10-03 | 2013-11-01 - 2014-10-31 | INACTIVE |
| 1026856 | 10.101394-TEMP | Registered Nurse - Temporary | 2011-08-01 | 2011-08-01 - 2011-11-29 | INACTIVE |
| Street Address | 3826 NE 10TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97212-1219 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey Stanley | 1936 Ne 38th Ave., Portland, OR 97212 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Simon M Trutt | 3145 Northeast 16th Avenue, Portland, OR 97212 | Controlled Substance Registration for Practitioner | 2019-12-09 ~ 2021-02-28 |
| Lisa A. Zich | 1130 Ne Brazee St, Portland, OR 97212 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Myriam M Rodriguez Torres | 4046 Ne 16th Ave, Portland, OR 97212-1331 | Professional Engineer | 2013-03-03 ~ 2014-01-31 |
| David H Smith | 3111 Ne Shaver St, Portland, OR 97212-1746 | Pharmacist | 2014-02-24 ~ 2016-01-31 |
| Sara F Baldauf-wagner Lnm | 1417 Ne Thompson St Apt 1, Portland, OR 97212-4203 | Registered Nurse | 2010-10-01 ~ 2011-09-30 |
| David Sheerin | 2015 Ne 38th Ave, Portland, OR 97212-5223 | Architect | 2019-08-06 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda H Silano | 265 Old Marlborough Tpke, Portland, CT 06480-1043 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Mega Engineering P A LLC | 8 Georgia St, Portland, ME 04103-6016 | Professional Engineering Corporation | 2020-06-16 ~ 2021-06-16 |
| Bianca Rose Monaco | 203 Pickering St, Portland, CT 06480-1962 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Galladex Bd T85% I 9082 | 47 Lower Main St, Portland, CT 06480 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
| Tri Town Foods | 316 Marlborough St, Portland, CT 06480-1977 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Suzanne S O'rourke | 35 Apple Tree Lane, Portland, CT 06480 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Gui Jiang | Sunny�s Nail&spa, Portland, CT 06480 | Nail Technician | 2020-06-26 ~ 2021-12-31 |
| Oakhurst Dairy | 364 Forest Ave, Portland, ME 04101-2035 | Milk Dealer | 2020-07-01 ~ 2022-06-30 |
| Angela R Aresco | 102 Rose Hill Rd, Portland, CT 06480-1217 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Rachel Low | 7216 N Fenwick Ave, Portland, OR 97217-5656 | Naturopathic Physician | ~ |
| Find all Licenses in PORTLAND | |||
| City | PORTLAND |
| Zip Code | 97212 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORTLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary B O'malley | Po Box 447, Housatonic, MA 01236-0447 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
| Mary G Boy | 237 Clift St, Mystic, CT 06355-1726 | Controlled Substance Registration for Practitioner | 2018-12-20 ~ 2021-02-28 |
| Mary J O | 109 E Gate Ln, Hamden, CT 06514-2233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary M Kelley Pa | 25 Chestnut St, Rockville, CT 06066 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Mary Ann D Bentz | 425 Montauk Ave, New London, CT 06320-4642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caroline Mary Ort | 389 Parker Ave S, Meriden, CT 06450-5954 | Controlled Substance Registration for Practitioner | 2020-01-07 ~ 2021-02-28 |
| Mary H Belniak | 4 Wiltshire Pl, Farmington, CT 06032-1527 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Mary E Bycholski | 29 Redbud Ln, Glastonbury, CT 06033-1222 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary R Benoit | 1 Ambler Rd, Bristol, CT 06010-3523 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary J Mcdonald | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).