JULIET A JACKSON (Credential# 1199641) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JULIET A JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052906. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 30 Marion Road, Westport, CT 06880. The current status is active.
| Licensee Name | JULIET A JACKSON |
| Credential ID | 1199641 |
| Credential Number | 1.052906 |
| Credential Type | Physician/Surgeon |
| Business Address |
30 Marion Road Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-04-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1220668 | CSP.0057127 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-05-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 30 Marion Road |
| City | Westport |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | Westport |
| Zip Code | 06880 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Westport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juliet Vilinskas Dr | 4 Hidden Oak Dr, Farmington, CT 06032 | Physician/surgeon | 2014-01-01 ~ 2014-12-31 |
| Juliet Mushi | 1481 5th Avenue, New York, NY 10035 | Physician/surgeon | 2020-05-25 ~ 2021-03-31 |
| Juliet Devigne Caldwell | 525 E. 68th St., New York, NY 10065 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Belinda Juliet Chan Md | 420 E Main St, Branford, CT 06405-2940 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Max G Jackson Jr | 77 Pringle Way, Reno, NV 89502 | Physician/surgeon | 1977-02-07 ~ 1984-06-30 |
| Melecio G Abordo Jr | Po Box 974, Jackson, KY 41339 | Physician/surgeon | 2001-07-30 ~ 2002-07-31 |
| William M Griffin | Po Box 877, Jackson, CA 95642 | Physician/surgeon | 1999-04-13 ~ 2000-04-30 |
| Carine R Klein | P.o.box 10100, Jackson, WY 83002 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Garland C Jackson Jr | 66 Woodfield Rd, Woodbridge, CT 06525 | Physician/surgeon | 2008-04-01 ~ 2009-03-31 |
| Frank L Lauro | 51 Northtown Dr, Jackson, MS 39211 | Physician/surgeon | 1996-12-11 ~ 1997-12-31 |
Please comment or provide details below to improve the information on JULIET A JACKSON.
| 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).