JENNY MATHEW
Controlled Substance Registration for Practitioner


Address: 12 Heritage Dr, Avon, CT 06001-4521

JENNY MATHEW (Credential# 1299322) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

JENNY MATHEW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060974. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 12 Heritage Dr, Avon, CT 06001-4521. The current status is lapsed.

Basic Information

Licensee Name JENNY MATHEW
Credential ID 1299322
Credential Number CSP.0060974
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 12 Heritage Dr
Avon
CT 06001-4521
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-07-13
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1229773 3.002921 Optometrist 2014-06-30 2016-07-01 - 2017-06-30 INACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Jenny Mathew 14 Whitewood Place, Old Bridge, NJ 08857 Master's Level Social Worker - Temporary Permit 2020-06-15 ~ 2020-09-06

Office Location

Street Address 12 HERITAGE DR
City AVON
State CT
Zip Code 06001-4521

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Alexander Geevarghese 12 Heritage Dr, Avon, CT 06001-4521 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Julie R Deitch 5 Bridle Path, Avon, CT 06001 Dental Hygienist 2020-07-01 ~ 2021-06-30
Brigitte Nicole Heleniak 16 Sunset Trail, Avon, CT 06001 Registered Nurse 2020-07-01 ~ 2021-06-30
Coffee Trade Inc (the) 21 West Main St, Avon, CT 06001 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Elizabeth Stockwell 44 Applewood Lane, Avon, CT 06001 Real Estate Salesperson ~
Mollie Velma Lahaie 14 Red Mountain Lane, Avon, CT 06001 Registered Nurse 2020-06-26 ~ 2020-08-31
Meiling Chen Avon Nail 315 W Main Street, Avon, CT 06001 Nail Technician ~
Richard J Kaiser 72 Westland Road, Avon, CT 06001 Architect 2020-08-01 ~ 2021-07-31
Michele L Sweitzer 12 Bluestone Lane, Avon, CT 06001 Real Estate Salesperson 2020-06-25 ~ 2021-05-31
Caroline O Amin 5 Colby Way, Avon, CT 06001 Physician/surgeon 2020-08-01 ~ 2021-07-31
Christine Burns 102 New Road, Avon, CT 06001 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

Search similar business entities

City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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Trini A Mathew 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2017-02-28
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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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