JENNIFER R MADONIA (Credential# 232500) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JENNIFER R MADONIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029415. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 18 Deerwood Rd, Oxford, CT 06478-1616. The current status is active.
| Licensee Name | JENNIFER R MADONIA |
| Credential ID | 232500 |
| Credential Number | CSP.0029415 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
18 Deerwood Rd Oxford CT 06478-1616 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-04-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742653 | 23.000904 | Physician Assistant | 1999-12-22 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 862836 | 70.920696 | Emergency Medical Technician | 1992-02-01 | - 1998-03-31 | INACTIVE |
| 1473143 | CSL.0001206 | CONTROLLED SUBSTANCE LABORATORY | - | INACTIVE |
| Street Address | 18 Deerwood Rd |
| City | OXFORD |
| State | CT |
| Zip Code | 06478-1616 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Larry A. Caplik | 129 Bee Mountain Rd, Oxford, CT 06478-1616 | Honey Bee Registration | 2018-10-01 ~ 2020-09-30 |
| Amber Lynn Brown | 117 Bee Mountain Rd, Oxford, CT 06478-1616 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Amy R De Blasi | 117 Bee Mountain Road, Oxford, CT 06478-1616 | Notary Public Appointment | 2009-08-01 ~ 2014-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robin M Michalak | 5 Macintosh Drive, Oxford, CT 06478 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Robin M Ambrosio | 3 Lolly Lane, Oxford, CT 06478 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoon Jeon | 312 Oxford Rd, Oxford, CT 06478 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Jacqueline R Sanz Pa | 221 Goodhill Rd, Oxford, CT 06478 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Sharon A Ritton-holly · Mcgowan | 5 Evergreen Lane, Oxford, CT 06478 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Anna B Valko | 6 Jem Woods Road, Oxford, CT 06478 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Southbury Baking Company LLC | 83 Prokop Road, Oxford, CT 06478 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Leanne C Hovhannissian | 25 Belinsky Circle, Oxford, CT 06478 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Andy Petitti | 5 Benson Road, Oxford, CT 06478 | Cross Connection Survey Inspector | 2020-04-01 ~ 2023-03-31 |
| Lynn Ann Wilkison | 6 Silano Drive, Oxford, CT 06478 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Find all Licenses in zip 06478 | |||
| City | OXFORD |
| Zip Code | 06478 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OXFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer K Leung Md | Stamford, CT 06902-6866 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer L Koskinen | Po Box 44, Tumacacori, AZ 85640-0044 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer G Kim Md | 155 Promenade Dr, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Jennifer Y You Dmd | 921 State St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 Pan | 129 York St Apt 2g, New Haven, CT 06511-5640 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 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 F Kherani | 2 Hughes Ave, Rye, NY 10580-1317 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2018-07-18 |
| Jennifer C Lee | 3 Gayridge Rd, Waterbury, CT 06705-3249 | Controlled Substance Registration for Practitioner | 2014-07-08 ~ 2015-02-28 |
| Jennifer A Hamblett Lnm | 7745 9th Ave Nw, Seattle, WA 98117-4106 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on JENNIFER R MADONIA.
| 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).