JEANNE JACKSON MD (Credential# 214141) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 20, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
JEANNE JACKSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028345. The credential type is controlled substance registration for practitioner. The effective date is September 20, 2015. The expiration date is February 28, 2017. The business address is 60 Washington Ave #203, Hamden, CT 06518. The current status is inactive.
| Licensee Name | JEANNE JACKSON MD |
| Credential ID | 214141 |
| Credential Number | CSP.0028345 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
60 Washington Ave #203 Hamden CT 06518 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2015-09-20 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555120 | 1.037530 | Physician/Surgeon | 1999-02-19 | 2015-11-01 - 2016-10-31 | INACTIVE |
| Street Address | 60 WASHINGTON AVE #203 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518 |
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeanne Franza | 222 Williams St E Apt 228, Glastonbury, CT 06033-2325 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeanne P Strathearn | Po Box 832, Lake Wales, FL 33859-0832 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeanne Kuslis Md | 392 Kensington Rd, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeanne E Hendrickson | 144 Driftwood Ln, Guilford, CT 06437-1950 | Controlled Substance Registration for Practitioner | 2019-09-11 ~ 2021-02-28 |
| Dale Jeanne Lacroix | 70 Dunbar Dr, Essex Jct, VT 05452-4436 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeanne Hotchkiss Md | 4 Park Avenue, Old Greenwich, CT 06870 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Jeanne Hunter | 854 Mcchord St, Colorado Springs, CO 80916-5171 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeanne E Capasse | 148 East Avenue, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeanne C Percy-rivera | 47 Union St, Manchester, CT 06042-1961 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeanne C. Reed | 4 King James Dr, East Lyme, CT 06333-1016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).