JODI ABIGAIL FORWARD (Credential# 2052187) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 15, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JODI ABIGAIL FORWARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065944-RES. The credential type is resident physician. The effective date is June 15, 2020. The expiration date is June 30, 2021. The business address is 305 Brooksvale Ave, Hamden, CT 06518-1235. The current status is active.
| Licensee Name | JODI ABIGAIL FORWARD |
| Credential ID | 2052187 |
| Credential Number | 1.065944-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
305 Brooksvale Ave Hamden CT 06518-1235 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-15 |
| Effective Date | 2020-06-15 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2050794 | CSP.0074269 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-18 | 2020-06-18 - 2021-02-28 | ACTIVE |
| Street Address | 305 BROOKSVALE AVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-1235 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Abigail Gurall | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2017-06-19 ~ 2021-06-18 |
| Rita Abigail Sartor | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Hannah Abigail Fuson | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Forward Edge International · Forward Edge | 15121a Ne 72nd Ave, Vancouver, WA 98686-2098 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Forward Together | 300 Frank H Ogawa Plz Ste 700, Oakland, CA 94612-2048 | Public Charity | 2018-12-01 ~ 2019-11-30 |
| Ct Forward | 370 James St Ste 202, New Haven, CT 06513-3090 | Public Charity | 2017-06-08 ~ 2018-05-31 |
| Abigail E Mcdonald | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2022-06-30 |
| Abigail C Doelger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2019-07-01 ~ 2024-06-30 |
| Forward Motion 411 Inc · Fomo; Backyard Books | 1175 Farmington Ave, Bristol, CT 06010 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Forward Funds | 433 California Street, San Francisco, CA 94101 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
Please comment or provide details below to improve the information on JODI ABIGAIL FORWARD.
| 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).