JENNIFER DIEDERICH DMD (Credential# 157949) 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.
JENNIFER DIEDERICH DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020700. 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 222 Main St # 251, Farmington, CT 06032-3623. The current status is active.
| Licensee Name | JENNIFER DIEDERICH DMD |
| Business Name | UNIVERSITY OF CONNECTICUT |
| Credential ID | 157949 |
| Credential Number | CSP.0020700 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
222 Main St # 251 Farmington CT 06032-3623 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 701828 | 2.007122 | Dentist | 1992-12-09 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 222 MAIN ST # 251 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-3623 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Abreu Construction LLC | 222 Main St # 202, Farmington, CT 06032-3623 | Asbestos Contractor | 2020-09-01 ~ 2021-08-31 |
| Victor B Neves | 222 Main St # 267, Farmington, CT 06032-3623 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Lori Kleindienst | 222 Main St # 213, Farmington, CT 06032-3623 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Priscilla Brooke Alexander Seessel | 222 Main St # 239, Farmington, CT 06032-3623 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Esther Nicholls | 222 Main St Ste 253, Farmington, CT 06032-3623 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-05-07 ~ 2021-09-30 |
| Hunter Bahre | 222 Main St Ste 276, Farmington, CT 06032-3623 | Dietitian/nutritionist | 2020-05-01 ~ 2021-04-30 |
| Luis G Granados Paucar | 222 Main St Apt D1, Farmington, CT 06032-3623 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yasser A Al-baghdadi | 222 Main St Ste 141, Farmington, CT 06032-3623 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Nathan C Bauer | 222 Main St # 246, Farmington, CT 06032-3623 | Lead Inspector Risk Assessor | 2020-01-01 ~ 2020-12-31 |
| Champs Ct LLC · Champs Home Solutions | 222 Main St Unit 154, Farmington, CT 06032-3623 | Home Improvement Contractor | 2019-12-04 ~ 2020-11-30 |
| Find all Licenses in zip 06032-3623 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer M. Kapo | Yale University, New Haven, CT 06520-8028 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raj Chablani | University of Connecticut Health Ctr, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mary P Guerrera Md | The University of Connecticut, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maja Mircic | University of Connecticut Health Ctr, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-07-25 ~ 2015-02-28 |
| Joseph Lorenzo Md · University of Connecticut | Mc: 4037, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patricia M Tracey | University of Connecticut Health, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jay Feingold Md · University of Connecticut | Heal Center Mc-1315, Farmington, CT 06031 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Kristina F Zdanys | University of Connecticut Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chaitanya P Puranik | University of Connecticut Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2018-03-14 ~ 2019-02-28 |
| Theresa Barnett Aprn | University of Connecticut Health Center, Farmington, CT 06030 | 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).