JACLYN K BIRN (Credential# 1444884) 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.
JACLYN K BIRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066672. 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 121 Richards Dr, Monroe, CT 06468-2321. The current status is active.
| Licensee Name | JACLYN K BIRN |
| Credential ID | 1444884 |
| Credential Number | CSP.0066672 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
121 Richards Dr Monroe CT 06468-2321 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-25 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1431704 | 12.007190 | Advanced Practice Registered Nurse | 2017-08-23 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 1165832 | 10.113109 | Registered Nurse | 2013-08-20 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 121 RICHARDS DR |
| City | MONROE |
| State | CT |
| Zip Code | 06468-2321 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer A Frank | 75 Richards Dr, Monroe, CT 06468-2321 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jesse James Eles | 127 Richards Dr, Monroe, CT 06468-2321 | Certified Public Accountant License | 2019-12-09 ~ 2020-12-31 |
| Donna Kosakowski | 75 Richards Dr, Monroe, CT 06468-2321 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
| Dicamillo Construction LLC | 115 Richards Dr, Monroe, CT 06468-2321 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liliya Maklyan | 31 Pastors Walk, Monroe, CT 06468 | Esthetician | ~ |
| Marion K Becker | 54 Greenwood Drive, Monroe, CT 06468 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Valerie Matte-zabin | 139 Bart Rd, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Hang T Dang | 150 Main St, Monroe, CT 06468 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Leanne M Grace | 79 Pastors Walk, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Alicia Marie Walker | 12 Edgewood Road, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Trina Duong | 202f Windgate Cir, Monroe, CT 06468 | Nail Technician | ~ |
| Julie M Boardman | 95 Richards Drive, Monroe, CT 06468 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marilia Curral Giacobbe | 260 Cutlers Farm Road, Monroe, CT 06468 | Notary Public Appointment | 2015-03-01 ~ 2020-02-28 |
| Jane E Allen · Eschweiler | 3 Timber Dr, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06468 | |||
| City | MONROE |
| Zip Code | 06468 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MONROE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie A Birn | 140 Northrop Rd, Woodbridge, CT 06525-1744 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaclyn R Jones | 185 Hildred Dr, Burlington, VT 05401-3666 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jaclyn M Jermine | 2 Mills Ave, Milford, CT 06460-7678 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaclyn C Flanigan | 275 Marvelwood Dr, New Haven, CT 06515-2429 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jaclyn L Gladstein | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaclyn Steinke | 104 Holly Mar Hill Rd, Northford, CT 06472-1119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaclyn A Fallon | 1150 Route 9w S, Nyack, NY 10960-4826 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jaclyn S Smith Dvm | 158 Seaside Ave Unit B, Stamford, CT 06902-5333 | Controlled Substance Registration for Practitioner | 2013-04-15 ~ 2015-02-28 |
| Jaclyn M Brancato Pa | 1924 Main St., Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaclyn M Sylvia | 60 Westwood Avenue, Waterbury, CT 06708 | 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).