JENNIFER MARIE GENTA (Credential# 1803438) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 30, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JENNIFER MARIE GENTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072697. The credential type is controlled substance registration for practitioner. The effective date is October 30, 2019. The expiration date is February 28, 2021. The business address is 26 Jeremy Dr, East Lyme, CT 06333-1544. The current status is active.
| Licensee Name | JENNIFER MARIE GENTA |
| Credential ID | 1803438 |
| Credential Number | CSP.0072697 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
26 Jeremy Dr East Lyme CT 06333-1544 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-30 |
| Effective Date | 2019-10-30 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-11-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1642187 | 10.163171 | Registered Nurse | 2019-08-01 | 2019-08-01 - 2020-08-31 | ACTIVE |
| 1642186 | 12.008362 | Advanced Practice Registered Nurse | 2019-08-01 | 2019-08-01 - 2020-08-31 | ACTIVE |
| 1642291 | 10.159570-TEMP | Registered Nurse - Temporary | 2019-03-27 | 2019-03-27 - 2019-07-25 | INACTIVE |
| Street Address | 26 JEREMY DR |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333-1544 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine Barnett · Little Sprouts Daycare | 8 Jeremy Dr, East Lyme, CT 06333-1544 | Family Child Care Home | 2017-07-01 ~ 2021-06-30 |
| Rajesh C Parekh | 32 Jeremy Dr, East Lyme, CT 06333-1544 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samuel A Modzelewski | 38 Jeremy Dr, East Lyme, CT 06333-1544 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Emily Ennis | 34 Jeremy Dr, East Lyme, CT 06333-1544 | Embalmer Pre-graduate Trainee | 2013-06-15 ~ 2013-09-15 |
| Jayshree P Henry | 32 Jeremy Dr, East Lyme, CT 06333-1544 | Hairdresser/cosmetician | 2019-01-01 ~ 2020-12-31 |
| Mari Nazzaro | 8 Jeremy Dr, East Lyme, CT 06333-1544 | Family Child Care Assistant | 2014-04-14 ~ 2016-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Pearson | 6201 Maple Tree Lane, East Lyme, CT 06333 | Behavior Analyst | ~ |
| Aura M Serdici | 7 Ferro Dr, East Lyme, CT 06333 | Esthetician | ~ |
| Lawrence J Darling Jr · Darling Carpentry | 61 Mostowy Rd, East Lyme, CT 06333 | Home Improvement Contractor | 2020-06-19 ~ 2020-11-30 |
| Sandeep B Varma | 30 Plum Hill Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter J Famiglietti Md | 339 Flanders Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Beth A Stoddard | 8 Greentree Drive, East Lyme, CT 06333 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott's Yankee Farmer | 291 N Bride Brook Rd, East Lyme, CT 06333 | Apple Juice & Cider Manufacturer | 2020-07-01 ~ 2021-06-30 |
| Katherine E Whalen | 339 Flanders Rd Ste 109, East Lyme, CT 06333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| May L Diep | 88 Arbor Crossing, East Lyme, CT 06333 | Nail Technician | ~ |
| Cash True Value | 300 Flanders Rd, East Lyme, CT 06333 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06333 | |||
| City | EAST LYME |
| Zip Code | 06333 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna Marie Marie Romito | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marie E Didario | 31 Fox Run Ct, Newington, CT 06111-4579 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Marie Dam | 86 Deer Run, Burlington, CT 06013-1815 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joy Marie Richardson | 19 Day St, Norwalk, CT 06854-4912 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer C Lee | 3 Gayridge Rd, Waterbury, CT 06705-3249 | Controlled Substance Registration for Practitioner | 2014-07-08 ~ 2015-02-28 |
| Jennifer L Traxler | 137 E Elm St, Greenwich, CT 06830-6614 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jennifer A Digiacomo | 27 Oak St Ste D, Stamford, CT 06905-5304 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jennifer Y You Dmd | 921 State St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer Y Pan | 129 York St Apt 2g, New Haven, CT 06511-5640 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer K Leung Md | Stamford, CT 06902-6866 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).