GRACE KUNJUKUNJU (Credential# 1422099) 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.
GRACE KUNJUKUNJU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065311. 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 1111 Stratford Ave Apt 223, Stratford, CT 06615-6376. The current status is active.
| Licensee Name | GRACE KUNJUKUNJU |
| Credential ID | 1422099 |
| Credential Number | CSP.0065311 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1111 Stratford Ave Apt 223 Stratford CT 06615-6376 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-05-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1403095 | 1.056379 | Physician/Surgeon | 2017-04-24 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 1111 STRATFORD AVE APT 223 |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615-6376 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Asena Derohannesian | 1111 Stratford Ave Apt 224, Stratford, CT 06615-6376 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Can Wang | 1111 Stratford Ave Apt 220, Stratford, CT 06615-6376 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarath Koun | 323 Bruce Ave, Stratford, CT 06615 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Constance Trenske | 50 Birdseye Street, #105a, Stratford, CT 06615 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jennifer Massey | 187 Third Ave, Stratford, CT 06615 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Regina M Golden | 295 2nd Ave, Stratford, CT 06615 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Susan R Leventhal | 265 Second Ave, Stratford, CT 06615 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Danielle M Donfrancesco | 90 Sands Pl, Stratford, CT 06615 | Esthetician | ~ |
| James A Phillips | 735 Broad Street, Stratford, CT 06615 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Debra J Cennamo | 155 Short Beach Rd, Stratford, CT 06615 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Melissa Andrea Escobar-avilez | [email protected], Stratford, CT 06615 | Licensed Practical Nurse | ~ |
| Stephanie Gabon | 1168 Main Street, C6, Stratford, CT 06615 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06615 | |||
| City | STRATFORD |
| Zip Code | 06615 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grace M Lee | 100 Temple St #201, New Haven, CT 06510-2331 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Grace J. Kim | 625 Whitney Ave Apt 6, New Haven, CT 06511-2281 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Grace Lee | 330 Cedar St, New Haven, CT 06510-3218 | Controlled Substance Registration for Practitioner | 2020-03-09 ~ 2021-02-28 |
| Grace Y Cha | 38 Ward St Apt 4, Middletown, CT 06457-4139 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Grace Chin Dds | 8 Bradshaw Ct, Hillsdale, NJ 07642-2453 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Grace H Lin Md | 150 Southfield Av 1140, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Nathan H Brewer | 10 Grace Ln, Killingworth, CT 06419-1312 | Controlled Substance Registration for Practitioner | 2011-07-21 ~ 2013-02-28 |
| Grace Huang | 64 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2009-03-17 ~ 2011-02-28 |
| Grace A Nakos | 141 Hebron Ave, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-04-09 ~ 2021-02-28 |
| Grace H. Hong | 76 Pyquag Ln, Glastonbury, CT 06033-1856 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).