JERILYN S ALLEN MD (Credential# 551631) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JERILYN S ALLEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034032. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 220 Old Black Point Rd, Niantic, CT 06357. The current status is active.
| Licensee Name | JERILYN S ALLEN MD |
| Credential ID | 551631 |
| Credential Number | 1.034032 |
| Credential Type | Physician/Surgeon |
| Business Address |
220 Old Black Point Rd Niantic CT 06357 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-09-02 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 184276 | CSP.0025818 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 220 Old Black Point Rd |
| City | Niantic |
| State | CT |
| Zip Code | 06357 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Young Sun Kim | 265 Roxbury Rd, Niantic, CT 06357 | Nail Technician | ~ |
| Melissa B Bender | 9 Hoskins St, Niantic, CT 06357 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Rachel Brennan | 8 Louise Drive, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tianhua Wang | 11 King Arthur Dr Unit 2h, Niantic, CT 06357 | Nail Technician | 2020-06-26 ~ 2022-02-28 |
| Maxwell V Nucci | 70 Smith St, Niantic, CT 06357 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Virada Lackey | 22 Sunnie Side Drive, Niantic, CT 06357 | Real Estate Salesperson | ~ |
| Niantic Cinema Corp | 279 Main St, Niantic, CT 06357 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Olivia M Blodgett | 30 Lake Ave, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine S Kleczkowski | P.o. Box 281, Niantic, CT 06357 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Robert W Cunningham | 9 South Rd., Niantic, CT 06357 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06357 | |||
| City | Niantic |
| Zip Code | 06357 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Niantic |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| P Wijewardane Md | 180 Allen St, New Britain, CT 06053 | Physician/surgeon | 2001-03-20 ~ 2002-03-31 |
| Allen F Davis Md | 164 Mt. Pleasant Rd., Newtown, CT 06470 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Allen B Silberstein Md | 220 William St, Portland, CT 06480 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Geoffrey A Allen | 145 Cottage St B-1, New Haven, CT 06511 | Physician/surgeon | 1996-08-23 ~ 1997-08-31 |
| Allen P Borger | 145 Columbia Ave., Holland, MI 49423 | Physician/surgeon | 2005-12-27 ~ 2007-01-31 |
| Allen M Kaufman | 15 E 26th St Apt 13e, New York, NY 10010-1445 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
| Allen R Koenig | 78 Dandy Drive, Cos Cob, CT 06807-2208 | Physician/surgeon | 2009-05-14 ~ 2010-05-31 |
| Allen Chetrick | 56 Turtle Bay Dr, Branford, CT 06405 | Physician/surgeon | 1998-05-01 ~ 1999-05-31 |
| Allen P Schlein | 650 Clinton Ave, Bridgeport, CT 06605 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Abha R Gupta | 801 Allen Ave, Cheshire, CT 06410-1802 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on JERILYN S ALLEN MD.
| 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).