JENNA KOLIANI-PACE (Credential# 1632364) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JENNA KOLIANI-PACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063719. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 300 Western Blvd Ste A, Glastonbury, CT 06033-4305. The current status is active.
| Licensee Name | JENNA KOLIANI-PACE |
| Credential ID | 1632364 |
| Credential Number | 1.063719 |
| Credential Type | Physician/Surgeon |
| Business Address |
300 Western Blvd Ste A Glastonbury CT 06033-4305 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-18 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1669721 | CSP.0071622 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-19 | 2019-06-19 - 2021-02-28 | ACTIVE |
| Street Address | 300 WESTERN BLVD STE A |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4305 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey Nestler Md | 300 Western Blvd Ste B, Glastonbury, CT 06033-4305 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Glastonbury Endoscopy Center LLC · Glastonbury Endoscopy Center, LLC | 300 Western Blvd Ste 100, Glastonbury, CT 06033-4305 | Out-patient Surgical Facility | 2019-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William A. Pace | 114 Overlake Dr, Colchester, VT 05446-9732 | Physician/surgeon | 2013-02-21 ~ 2013-10-31 |
| Peter P Pace Md | 76 Suffolk Drive, Madison, CT 06443 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Bella Pace Md | 210 Westchester Ave, White Plains, NY 10604 | Physician/surgeon | 2001-02-26 ~ 2002-03-31 |
| Rebecca C Pace Do | 90a Leetes Island Rd, Branford, CT 06405 | Physician/surgeon | 2008-02-11 ~ 2009-03-31 |
| Jenna Lynn Klimovich | 19 Lenore Dr, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jenna Butner | 5-11 47th Avenue, Long Island City, NY 11101 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Pace Brothers Inc | Pace's Mkt & Deli, Waterbury, CT 06708 | Non Legend Drug Permit | ~ 1994-12-31 |
| Aaa Pace Services Inc | 339 Washington Ave, North Haven, CT 06473 | Home Improvement Contractor | 2004-12-30 ~ 2005-11-30 |
| Pace University | 1 Pace Plz, New York, NY 10038-1502 | Public Charity-exempt From Financial Requirements | 2010-11-08 ~ |
| Neil C Pace · Pace Market & Deli | 250 Meriden Rd, Waterbury, CT 06705 | Grocery Beer | ~ 1999-02-27 |
Please comment or provide details below to improve the information on JENNA KOLIANI-PACE.
| 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).