EDYTA M JACOBS (Credential# 1389128) 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.
EDYTA M JACOBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064343. 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 25 Wildcat Rd, Burlington, CT 06013-2424. The current status is active.
| Licensee Name | EDYTA M JACOBS |
| Credential ID | 1389128 |
| Credential Number | CSP.0064343 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
25 Wildcat Rd Burlington CT 06013-2424 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-11-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1388961 | 12.006848 | Advanced Practice Registered Nurse | 2016-11-21 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1039178 | 10.103984 | Registered Nurse | 2012-01-24 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 25 WILDCAT RD |
| City | BURLINGTON |
| State | CT |
| Zip Code | 06013-2424 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee A Jacobs Jr | 25 Wildcat Rd, Burlington, CT 06013-2424 | Emergency Medical Responder | 2019-10-01 ~ 2022-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert M Angelillo | 43 Wildcat Rd, Burlington, CT 06013-2424 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Jennifer L Cripps | 93 Wildcat Rd, Burlington, CT 06013-2424 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Valerie Spiewak | 65 Wildcat Rd, Burlington, CT 06013-2424 | Family Child Care Home | 2016-11-10 ~ 2020-11-30 |
| Family Fuels LLC | 23 Wildcat Rd, Burlington, CT 06013-2424 | Home Heating Fuel Dealer | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Obrizzo | 81 W Side Blvd, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gwendolyn A Nowacki | 16 Village Ln, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erinne P Houton | 298 Jerome Ave, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Subway of Burlington | 292 Spielman Hwy, Burlington, CT 06013 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Aneta Gurtowsky | 2 West Ledge Road, Burlington, CT 06013 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Maria L Main | 79 Pine Hill Road, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven T Miles | 26 Angelas Way, Burlington, CT 06013 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Sally A Larsen | 515 Jerome Avenue, Burlington, CT 06013 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Barbara C Grindal | 118 Punch Brook Rd, Burlington, CT 06013 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Insu Kim | 48 Monce Rd, Burlington, CT 06013 | Nail Technician | 2020-06-18 ~ 2022-04-30 |
| Find all Licenses in zip 06013 | |||
| City | BURLINGTON |
| Zip Code | 06013 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BURLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edyta Hrynkiewicz · Animal Hospital of Rocky Hill | 588 Cromwell Ave, Rocky Hill, CT 06067-1813 | Controlled Substance Registration for Practitioner | 2017-02-16 ~ 2019-02-28 |
| Robert J Jacobs | 100 Rte 37, New Fairfield, CT 06812 | Controlled Substance Registration for Practitioner | 2019-02-04 ~ 2019-02-28 |
| Jason Jacobs | 141 Deerfield Ln N, Pleasantville, NY 10570-1430 | Controlled Substance Registration for Practitioner | 2019-01-08 ~ 2021-02-28 |
| Catherine Jacobs | 2 Park Pl Apt 14k, Hartford, CT 06106-5014 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ronnie L Jacobs Md | 78 Crestridge Dr, Asheville, NC 28803-9509 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Rose E Jacobs | 46 Twilight Dr, Granby, CT 06035 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Saranya Sakhamuri | 16 Jacobs Ln, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gabriel B Jacobs | 80 Howe St Apt 100, New Haven, CT 06511-4630 | Controlled Substance Registration for Practitioner | 2010-12-17 ~ 2013-02-28 |
| Henry E Jacobs | 1 Northwestern Dr, Bloomfield, CT 06002-3400 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wenli Gao | 9 Jacobs Lane, Newtown, CT 06470 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on EDYTA M JACOBS.
| 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).