JENNIFER ANNE MCDANIEL (Credential# 1624396) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 8, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JENNIFER ANNE MCDANIEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070069. The credential type is controlled substance registration for practitioner. The effective date is January 8, 2019. The expiration date is February 28, 2021. The business address is 4925 E Osborn Rd, Phoenix, AZ 85018. The current status is active.
Licensee Name | JENNIFER ANNE MCDANIEL |
Credential ID | 1624396 |
Credential Number | CSP.0070069 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
4925 E Osborn Rd Phoenix AZ 85018 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-01-08 |
Effective Date | 2019-01-08 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-09 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1618272 | 12.008032 | Advanced Practice Registered Nurse | 2019-01-02 | 2020-02-01 - 2021-01-31 | ACTIVE |
1400618 | 10.140344 | Registered Nurse | 2017-02-07 | 2020-02-01 - 2021-01-31 | ACTIVE |
1401129 | 10.140100-TEMP | Registered Nurse - Temporary | 2017-02-01 | 2017-02-01 - 2017-05-31 | INACTIVE |
Street Address | 4925 E Osborn Rd |
City | Phoenix |
State | AZ |
Zip Code | 85018 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Piyush Gupta | 3501 N 35th Place, Phoenix, AZ 85018 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Jeffrey L Cutberth | 3626 E. Camelback Road, Phoenix, AZ 85018 | Architect | 2018-08-14 ~ 2019-07-31 |
Mark Mascia | 3943 N 45th Place, Phoenix, AZ 85018 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Juliane Hayashi | 4201 N 35th Way, Phoenix, AZ 85018 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
Victoria Leigh Pacheco | 4045 E E Arrl Dr, Phoenix, AZ 85018 | Registered Nurse | 2017-08-01 ~ 2018-07-31 |
Elizabeth H Steves · Hillshire House Inc | 5110 North 32nd St, Phoenix, AZ 85018 | Real Estate Salesperson | 2001-06-01 ~ 2002-05-31 |
John K Crowe | 4740 East Mariposa St., Phoenix, AZ 85018 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
Roberto I Bracamonte Md | Valley Hospital, Phoenix, AZ 85018 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Thomas K Wagner | 4140 North 44th St/ste 102, Phoenix, AZ 85018 | Architect | 2012-08-01 ~ 2013-07-31 |
Bernard Deutsch · Deutsch Associates | 4600 East Indian School Rd, Phoenix, AZ 85018 | Architect | 2005-08-01 ~ 2006-07-31 |
Find all Licenses in zip 85018 |
City | Phoenix |
Zip Code | 85018 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Phoenix |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Manmeet S Padda Md | 2031 Mcdaniel St Ste 210, North Las Vegas, NV 89030-6309 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Anne Marie E Arvidson | 1823 Queen Anne Ave N Ste 102, Seattle, WA 98109-2877 | Controlled Substance Registration for Practitioner | 2013-02-27 ~ 2015-02-28 |
Anne F Liu | 22 N Lake Dr Apt A1, Hamden, CT 06517-2417 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Anne M Hyson | 26 Dandy Dr, Cos Cob, CT 06807-2203 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anne S Mauk Pa | 68 Cove Ave, Norwalk, CT 06855 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anne Mcawley-leduc | Po Box 37, Lebanon, CT 06249-0037 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Anne Fine Lnm | 18 Sumner Ave, Florence, MA 01062 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Anne K Nagler | 238 Wooster St Apt 3, New Haven, CT 06511-5702 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Anne M Baggley | 3 Roslyn Ln, New City, NY 10956-3615 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anne Francis E Nicol Md | Po Box 543, Woonsocket, RI 02895 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
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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).