JESSICA PETROV (Credential# 2052285) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JESSICA PETROV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.066042-RES. The credential type is resident physician. The effective date is June 11, 2020. The expiration date is June 30, 2021. The business address is 265 College St Apt 5l, New Haven, CT 06510-2422. The current status is active.
| Licensee Name | JESSICA PETROV |
| Credential ID | 2052285 |
| Credential Number | 1.066042-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
265 College St Apt 5l New Haven CT 06510-2422 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-11 |
| Effective Date | 2020-06-11 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2049645 | CSP.0074170 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-16 | 2020-06-16 - 2021-02-28 | ACTIVE |
| Street Address | 265 COLLEGE ST APT 5L |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-2422 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charlie Chen | 265 College St Apt 5l, New Haven, CT 06510-2422 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Christine F. Rodolfo | 265 College St Apt 5l, New Haven, CT 06510-2422 | Audiologist | 2014-02-01 ~ 2015-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Ng | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jessica Marino | 163 Franklin St Apt 217, Stamford, CT 06901-1038 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Jessica Miranda | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jessica Li | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2016-07-01 ~ 2020-07-01 |
| Jessica A Ashley | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| Jessica Tuan | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-02 ~ 2021-06-30 |
| Jessica D Bruce | 29 Bokum Rd, Chester, CT 06412-1339 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Jessica Greenberg | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2018-07-01 ~ 2022-06-30 |
| Jessica Lindsay Burris | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2019-06-11 ~ 2023-06-30 |
| Jessica R Deslauriers | 76 Jaenicke Lane, Hamden, CT 06517 | Resident Physician | 2017-07-01 ~ 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).