ROBERT JENNETTE (Credential# 556534) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ROBERT JENNETTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038946. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 610 Browns Rd, Storrs Mansfield, CT 06268-2717. The current status is active.
| Licensee Name | ROBERT JENNETTE |
| Credential ID | 556534 |
| Credential Number | 1.038946 |
| Credential Type | Physician/Surgeon |
| Business Address |
610 Browns Rd Storrs Mansfield CT 06268-2717 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-08-15 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 241312 | CSP.0030195 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-10-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 610 BROWNS RD |
| City | STORRS MANSFIELD |
| State | CT |
| Zip Code | 06268-2717 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy A Kussow | 652 Browns Rd, Storrs Mansfield, CT 06268-2717 | Emergency Medical Technician | 2020-01-01 ~ 2022-12-31 |
| Michael W Sundeen | 680 Browns Rd, Storrs Mansfield, CT 06268-2717 | Athletic Trainer | 2013-10-01 ~ 2014-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | STORRS MANSFIELD |
| Zip Code | 06268 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STORRS MANSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank Jennette · Jennette Remodeling | 142 Benham Rd, Groton, CT 06340 | Home Improvement Contractor | 1997-12-17 ~ 1998-11-30 |
| Jennette Construction LLC | 142 Benham Rd, Groton, CT 06340-4935 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Samaniego | 33 Cedar St Ste 3, Rye, NY 10580-2031 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Robert H Birchenough | P.o. Box 95, Cleverdale, NY 12820 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Robert B Sirkin | Po Box 903, Grantham, NH 03753 | Physician/surgeon | 1995-08-18 ~ 1996-05-31 |
| Robert Nordness | 141 Elm St, Stonington, CT 06378-1163 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert M Amick | 260 Lee St, Brookline, MA 02445-5915 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Robert Mittman | 230-26 53 Ave, Bayside, NY 11364 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on ROBERT JENNETTE.
| 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).