JEAN E WALIKONIS (Credential# 1587030) 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.
JEAN E WALIKONIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069209. 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 740 Mansfield City Rd, Storrs Mansfield, CT 06268-2737. The current status is active.
| Licensee Name | JEAN E WALIKONIS |
| Credential ID | 1587030 |
| Credential Number | CSP.0069209 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
740 Mansfield City Rd Storrs Mansfield CT 06268-2737 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-08-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1527984 | 12.007722 | Advanced Practice Registered Nurse | 2018-07-31 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 1135159 | 10.109769 | Registered Nurse | 2013-01-24 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 740 MANSFIELD CITY RD |
| City | STORRS MANSFIELD |
| State | CT |
| Zip Code | 06268-2737 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen M Thompson | 706 Mansfield City Rd, Storrs Mansfield, CT 06268-2737 | Emergency Medical Technician | 2013-09-09 ~ 2016-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | STORRS MANSFIELD |
| Zip Code | 06268 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STORRS MANSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Walikonis, Randall, Phd, Lab Of · Uconn School of Physiology/neurobiology | 3107 Horsebarn Hill Rd Unit 4156, Storrs, CT 06268 | Controlled Substance Laboratory | 2003-06-05 ~ 2004-02-28 |
| Jean Y Lin | 123 York St Apt 10k, New Haven, CT 06511-5626 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jean Sun | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jean P Marachi Md | 167 Old Post Rd, Southport, CT 06890-1395 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jean Sun | 1551 Minor Ave. Apt 511, Seattle, WA 98101 | Controlled Substance Registration for Practitioner | 2019-12-13 ~ 2021-02-28 |
| Jean Lafayette | 1 Northwestern Dr Fl 201, Bloomfield, CT 06002-3400 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jean Corstensen Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | ~ |
| Men-jean Lee | 5 East 98th Street, Ny, NY 10029 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Jean W Lee | 1 Hospital Plaza, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jean Stadalnik Md | 38 Marshall Ave, Guilford, CT 06437-3516 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
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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).