JESSICA M GJEDE (Credential# 1205031) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JESSICA M GJEDE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052822. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 30 Hoffmann Rd, Canton, CT 06019. The current status is active.
Licensee Name | JESSICA M GJEDE |
Credential ID | 1205031 |
Credential Number | 1.052822 |
Credential Type | Physician/Surgeon |
Business Address |
30 Hoffmann Rd Canton CT 06019 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-03-03 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-02-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1208330 | CSP.0056757 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-03-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 30 Hoffmann 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 | Physician/Surgeon |
License Type + County | Physician/Surgeon + Canton |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jessica M Lee | 85 Seymour St Ste 415, Hartford, CT 06106-5523 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Jessica Takores | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | ~ |
Jessica Ramachandran | 433 E 118th St Apt 2, New York, NY 10035-4379 | Physician/surgeon | ~ |
Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Jessica L Dodge | 16 Lily Dr, Danbury, CT 06811-3281 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jessica L Barest | 340 E 49th St, New York, NY 10017-1697 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
Jessica A Olayanju | 732 Main St, Manchester, CT 06040-5106 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Jessica Mary Lee | 53 Sconset Ln, Guilford, CT 06437 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jessica C Fleishman | 24 N Oakwood Ter, New Paltz, NY 12561-1135 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
Jessica A Herzstein | 106 Livingston St Apt C8, New Haven, CT 06511-2413 | Physician/surgeon | 1987-07-01 ~ 1990-05-31 |
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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).