JENNIPHER SHARON HIESTER (Credential# 1425833) 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.
JENNIPHER SHARON HIESTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065563. 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 2390 State St, Hamden, CT 06517. The current status is active.
| Licensee Name | JENNIPHER SHARON HIESTER |
| Credential ID | 1425833 |
| Credential Number | CSP.0065563 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2390 State St Hamden CT 06517 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-05-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1418376 | 23.003830 | Physician Assistant | 2017-05-16 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 2390 State St |
| City | Hamden |
| State | CT |
| Zip Code | 06517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terrance R Burroughs | 2390 State St, Hamden, CT 06517 | Emergency Medical Technician | 2020-04-01 ~ 2023-03-31 |
| Manuel Pabom | 2390 State St, Hamden, CT 06517 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Amos L Smith | 2390 State St, Hamden, CT 06517-3716 | Licensed Clinical Social Worker | 2018-11-01 ~ 2019-10-31 |
| Mark Maresca | 2390 State St, Hamden, CT 06517 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
| Scott D Weir Md | 2390 State St, Hamden, CT 06517 | Physician/surgeon | 2002-01-16 ~ 2003-03-31 |
| Shavonne Moore | 2390 State St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | Hamden |
| Zip Code | 06517 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Schnurr Md | Sharon Ob/gyn, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lynn O Egan Md | Sharon Hospital, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2007-08-13 ~ 2008-02-29 |
| John A Downey Md | 99 Sharon Mountain Rd, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Richard A Bennek | Sharon Hospital, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Katherine C Bishop Lnm | Sharon Hospital, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Syed Hussaini Md | Sharon Hospital, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 1995-12-19 ~ 1995-02-28 |
| Barbara Heublein Md | Sharon Pediatric Associates, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 1996-10-03 ~ 1996-10-01 |
| Howard G Mortman Md · Sharon Medical Art Center | 50 Amenia Rd # 1040, Sharon, CT 06069-2268 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sharon Hospital | 50 Hospital Rd, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | ~ |
| Catherine D Leidigh | P.o. Box 157, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on JENNIPHER SHARON HIESTER.
| 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).