JENNA R BORDELON (Credential# 1356250) 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.
JENNA R BORDELON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062835. 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 463 Spoonbill Lane, Melbourne Beach, FL 32951. The current status is lapsed.
| Licensee Name | JENNA R BORDELON |
| Credential ID | 1356250 |
| Credential Number | CSP.0062835 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
463 Spoonbill Lane Melbourne Beach FL 32951 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2016-05-25 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| Street Address | 463 SPOONBILL LANE |
| City | MELBOURNE BEACH |
| State | FL |
| Zip Code | 32951 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carole S Tourtellotte | 6710 Angeles Rd, Melbourne Beach, FL 32951 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra H Perleoni | 161 Seaglass Drive, Melbourne Beach, FL 32951 | Dental Hygienist | 2020-04-01 ~ 2021-03-31 |
| Collett B Hall | 374 Aquarina Blvd, Melbourne Beach, FL 32951 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Patricia J Weronik · Norrie & Hurst Realty Inc | 163 Aquarina Blvd, Melbourne Bch, FL 32951 | Real Estate Salesperson | 2003-11-04 ~ 2004-05-31 |
| Rodney M Campbell | 171 Seaglass Drive, Melbourne Beach, FL 32951 | Hairdresser/cosmetician | 2012-04-01 ~ 2014-03-31 |
| Leah F Mooney | 521 Ave A, Melbourne Beach, FL 32951 | Engineer-in-training | 2001-11-13 ~ 2011-11-13 |
| Sheila D Poole | 406 La Costa Street, Melbourne Beach, FL 32951 | Registered Nurse | 2008-10-09 ~ 2009-10-31 |
| Regina F Garrett · Mcmahon | 274 Clyde St, Melbourne Beach, FL 32951 | Registered Nurse | 2006-05-12 ~ 2007-05-31 |
| Maryann T Holden | 507 Banyan Way, Melbourne Beach, FL 32951 | Physical Therapist | 2004-01-13 ~ 2005-01-31 |
| Mary Jane G Arcand | 3000 South Hwy A14, Melbourne Beach, FL 32951 | Registered Nurse | 1996-11-21 ~ 1997-11-30 |
| Find all Licenses in zip 32951 | |||
| City | MELBOURNE BEACH |
| Zip Code | 32951 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MELBOURNE BEACH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jenna M Kim | 123 York St Apt 20d, New Haven, CT 06511-5640 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jenna M Little | 32 Woodland Dr, Durham, CT 06422-1512 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jenna Fewins | 3 September Way, Avon, CT 06001-3318 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jenna A Blake Pa-c | 305 E 239th St Apt 3j, Bronx, NY 10470-1846 | Controlled Substance Registration for Practitioner | 2011-09-19 ~ 2013-02-28 |
| Jenna M Strahan | 6811 1st St, Lubbock, TX 79416-3707 | Controlled Substance Registration for Practitioner | 2015-01-29 ~ 2017-02-28 |
| Jenna Swotinsky | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-05-28 ~ 2021-02-28 |
| Jenna M Kirk | 714 N Whitted St, Hendersonville, NC 28791-3354 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jenna Liguori | 479 Foxon Rd, East Haven, CT 06513-1905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jenna M Mcdonald Pa | 160 Hawley Lane, Trumbull, CT 06611-5387 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jenna Wald | 18 Maplewood Ave, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on JENNA R BORDELON.
| 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).