JENNIFER JEROME (Credential# 1382124) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JENNIFER JEROME is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064147. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 8 Sugar Hill Rd, Ellington, CT 06029-2828. The current status is active.
| Licensee Name | JENNIFER JEROME |
| Credential ID | 1382124 |
| Credential Number | CSP.0064147 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
8 Sugar Hill Rd Ellington CT 06029-2828 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-11-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1382097 | 12.006811 | Advanced Practice Registered Nurse | 2016-11-01 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 886466 | 10.089445 | Registered Nurse | 2009-07-21 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 8 SUGAR HILL RD |
| City | ELLINGTON |
| State | CT |
| Zip Code | 06029-2828 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly J Nolin · Mullens | 1 Sugar Hill Road, Ellington, CT 06029-2828 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Holly J Schipper | 4 Sugar Hill Rd, Ellington, CT 06029-2828 | Emergency Medical Responder | 2014-04-02 ~ 2017-01-01 |
| Todd W Costello | 1 Sugar Hill Rd, Ellington, CT 06029-2828 | Emergency Medical Responder | 2010-05-20 ~ 2013-04-01 |
| David W Gerlach | 10 Sugar Hill Rd, Ellington, CT 06029-2828 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Houlihan | 42 Crane Road, Ellington, CT 06029 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Christine E Powers | 94 Abbott Road, Ellington, CT 06029 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathryn R Walker | 3 Maplewood Dr, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Megan Elizabeth Knowling | 40 Ellridge Pl, Ellington, CT 06029 | Emergency Medical Technician | ~ |
| Elizabeth J Rhoads | 18 Crystal Ridge Dr., Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy S Nicolescu | 21 Lake Street, Ellington, CT 06029 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Emily Albertson | 155 Windermere Ave #3005, Ellington, CT 06029 | Registered Nurse | ~ |
| Meghan Laughlan | 3 Crystal Ball Ct, Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly A Havener | 187 Mountain Street, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol G Aborn | 21 Upper Butcher Rd., Ellington, CT 06029 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06029 | |||
| City | ELLINGTON |
| Zip Code | 06029 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ELLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jerome W Takiff | 895 E Main St, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Sunil Shah | 19 Jerome Dr, Farmingdale, NY 11735-1810 | Controlled Substance Registration for Practitioner | 2018-12-21 ~ 2021-02-28 |
| Deanna L Michaud | 378 Jerome Ave, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce Rothschild | 34 Jerome Ave Ste 110, Bloomfield, CT 06002-2463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jerome Gnanaraj | 235 Seymour Ave, Derby, CT 06418-1325 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Joshua K Malouin | 339 Jerome Ave, Burlington, CT 06013-2434 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emily M Mensel | 339 Jerome Ave, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jerome L Lichtenstein | 113 Lafayette St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jerome F Odlum Dmd | Courtyard #20, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jerome O Sugar | 171 Grandview Ave, Waterbury, CT 06708-2517 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on JENNIFER JEROME.
| 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).