JENNIFER LEE (Credential# 2044219) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JENNIFER LEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065575-RES. The credential type is resident physician. The effective date is December 1, 2020. The expiration date is June 30, 2021. The business address is 64 Robbins St, Waterbury, CT 06708-2600. The current status is active.
Licensee Name | JENNIFER LEE |
Credential ID | 2044219 |
Credential Number | 1.065575-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
64 Robbins St Waterbury CT 06708-2600 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-12-01 |
Effective Date | 2020-12-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-05-12 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
537332 | CSP.0045827 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-07-28 | 2009-07-28 - 2011-02-28 | INACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jennifer Lee | 237 Turnpike Road, Ashford, CT 06278 | Notary Public Appointment | 2016-07-01 ~ 2021-06-30 |
Jennifer Lee | 45 Maple Ave, Windsor, CT 06095 | Medication Administration Certification | 2012-02-16 ~ 2014-02-15 |
Jennifer Lee | 46 Aspen Dr, Livingston, NJ 07039-1434 | Behavior Analyst | 2020-06-01 ~ 2021-05-31 |
Street Address | 64 Robbins St |
City | WATERBURY |
State | CT |
Zip Code | 06708-2600 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Emery A Edmondson | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2020-06-28 ~ 2025-06-27 |
Neville M Patel | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2020-06-28 ~ 2025-06-27 |
Gaspar A Barreto Montero | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-28 ~ 2024-06-27 |
Michael T. Geraghty | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-28 ~ 2024-06-27 |
Georgios Mihalopulos | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2018-06-28 ~ 2023-06-27 |
Andrew Wakeman | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-28 ~ 2022-06-27 |
Maryam Ahmed | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-10 ~ 2022-06-22 |
Sana Fatima | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-10 ~ 2022-06-22 |
Fahmida Mcgann | 64 Robbins St, Waterbury, CT 06708-2613 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
Rebecca H Jugo | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2020-06-28 ~ 2021-06-27 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06708 |
City | WATERBURY |
Zip Code | 06708 |
License Type | Resident Physician |
License Type + County | Resident Physician + WATERBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jennifer A Guy | 6 Early Dr Apt K, Watervliet, NY 12189-2517 | Resident Physician | ~ |
Jennifer M Kwan | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Jennifer L Hubbard | 56 Franklin St, Waterbury, CT 06706-1253 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Jennifer H Park | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Jennifer R Hewlett | 38 Volunteer Ln, Greenwich, CT 06830-5414 | Resident Physician | 2018-06-25 ~ 2021-06-28 |
Jennifer A Lawson | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
Jennifer Percy | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Jennifer E Marshall | 46 Florence St, Newington, CT 06111 | Resident Physician | 2017-06-19 ~ 2021-06-18 |
Jennifer Marie Majdick | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2020-06-30 |
Jennifer Jo Monacelli Cate | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).