JENNIFER M CHAPMAN PA (Credential# 419871) 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 M CHAPMAN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038482. 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 104 Tranquilla Dr, Palm Beach Gardens, FL 33418. The current status is active.
| Licensee Name | JENNIFER M CHAPMAN PA |
| Credential ID | 419871 |
| Credential Number | CSP.0038482 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
104 Tranquilla Dr Palm Beach Gardens FL 33418 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-10-25 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742584 | 23.000835 | Physician Assistant | 1999-02-05 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 866759 | 70.940981 | Emergency Medical Technician | 1994-05-27 | - 1996-06-30 | INACTIVE |
| Street Address | 104 Tranquilla Dr |
| City | Palm beach gardens |
| State | FL |
| Zip Code | 33418 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pga Foundation Inc | 100 Avenue of The Champions, Palm Beach Gardens, FL 33418 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Daniel De Jesus | 5602 Delacroix Terrace, Palm Beach Garden, FL 33418 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lori J Capozzi | 10637 Avenue of The Pga, Palm Beach Gardens, FL 33418 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Kelly J Duncan | 13872 Whispering Lakes Ln, Palm Beach Gardens, FL 33418 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Charlene Marx | 24 Windward Isle, Palm Beach Gardens, FL 33418 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Laureen M Rubino | 144 Isle Drive, Palm Beach Gardens, FL 33418 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Lisa M Baron | 1101 Sabal Ridge Circle, Palm Beach Gardens, FL 33418 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Patricia R Brewster | 6599 Eastpines St, Palm Beach Gardens, FL 33418 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Adrienne Ruth Fransas | 6097 Seminole Gardens Circle, Palm Beach Gardens, FL 33418 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Peter G Helie | 12007 Cielo Court, Palm Beach Gardens, FL 33418 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 33418 | |||
| City | Palm beach gardens |
| Zip Code | 33418 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Palm beach gardens |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James W Cox-chapman Md | 705 New Britain Ave, Hartford, CT 06106-4039 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Amanda Joy Pinkerton | 63 Chapman St, Newington, CT 06111-1702 | Controlled Substance Registration for Practitioner | 2020-05-26 ~ 2021-02-28 |
| Terence N. Chapman | 1301 Taylor St, Columbia, SC 29201 | Controlled Substance Registration for Practitioner | 2013-12-10 ~ 2015-02-28 |
| James W Cox-chapman Md | 21 South Road, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2020-04-09 ~ 2021-02-28 |
| Joseph A Chapman | 4676 Red Barn Ln, Roanoke, VA 24012-7018 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Amy J Bach | 182 Chapman Loop, Pawleys Island, SC 29585 | Controlled Substance Registration for Practitioner | 2017-03-21 ~ 2019-02-28 |
| Rachel L Chapman Md | 140 Cherry Hill Rd, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Catherine C Wiley Md | 45 Chapman Drive, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James F Wiley II | 45 Chapman Drive, Glastonbury, CT 06033 | 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 |
Please comment or provide details below to improve the information on JENNIFER M CHAPMAN PA.
| 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).