JEFFREY R LAVALLEE (Credential# 1419006) 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.
JEFFREY R LAVALLEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056513. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 59 Sycamore St Ste 301, Glastonbury, CT 06033-4536. The current status is active.
| Licensee Name | JEFFREY R LAVALLEE |
| Credential ID | 1419006 |
| Credential Number | 1.056513 |
| Credential Type | Physician/Surgeon |
| Business Address |
59 Sycamore St Ste 301 Glastonbury CT 06033-4536 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-13 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1431688 | CSP.0065951 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1081105 | CSP.0052956 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-07-30 | 2013-03-13 - 2015-02-28 | INACTIVE |
| Street Address | 59 SYCAMORE ST STE 301 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4536 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul D Tortland | 59 Sycamore St Ste 301, Glastonbury, CT 06033-4536 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert L Lavallee Jr | 20 Westfield Ave, Ansonia, CT 06401 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Michael A Lavallee Jr | 4 Shaws Cv, New London, CT 06320-4956 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Daniel F Lavallee · D & R Lavallee | 187 Allentown Rd, Terryville, CT 06786 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
| David R Lavallee · Lavallee Carpentry | 925 Oronoke Rd Unit 17d, Waterbury, CT 06708 | Home Improvement Contractor | 1996-01-17 ~ 1996-11-30 |
| D & R Lavallee LLC | 187 Allentown Rd, Terryville, CT 06786 | New Home Construction Contractor | 2015-10-01 ~ 2017-09-30 |
| Eric Lavallee · E F Lavallee Inc | 147 Barbotte, Lacolle Quebec Canada, J0J1J0 | Plumbing & Piping Unlimited Contractor | 2001-01-17 ~ 2001-10-31 |
| Jeffrey J Lim | P O Box 158, Guymon, OK 73942-0158 | Physician/surgeon | 1998-03-30 ~ 1999-04-30 |
| Jeffrey L Bobrowitz | 86 Valleywood Rd, Cos Cob, CT 06807-2321 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Jeffrey Y Ngeow | 535 E 70 St, New York, NY 10021 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
| Jeffrey B Howe | P O Box 366, Eastford, CT 06242 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
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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).