JENNIFER R BALLEW DO (Credential# 560208) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
JENNIFER R BALLEW DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042626-DO. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 366 South Main Street, Cheshire, CT 06410. The current status is active.
| Licensee Name | JENNIFER R BALLEW DO |
| Credential ID | 560208 |
| Credential Number | 1.042626-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
366 South Main Street Cheshire CT 06410 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-07-07 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 380415 | CSP.0035961 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 366 South Main Street |
| City | Cheshire |
| State | CT |
| Zip Code | 06410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | Cheshire |
| Zip Code | 06410 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Cheshire |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer L Yeh Md | 4 Smith Dr, Savannah, GA 31406-6441 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Jennifer H. Kuo | 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 | Physician/surgeon | ~ |
| Jennifer R Lee Md | 85 Viscount Dr#8c, Milford, CT 06460 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Jennifer Lax Md | 23 Old Stone Bridge Rd, Cos Cob, CT 06807-1511 | Physician/surgeon | 2003-05-16 ~ 2004-02-29 |
| Jennifer L Bau | 1 Guthrie Sq, Sayre, PA 18840-1625 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Jennifer B Perone Md | 45 Nye Road, Glastonbury, CT 06033 | Physician/surgeon | 2004-04-13 ~ 2005-05-31 |
| Jennifer F Cross | 19 W Brookside Dr, Larchmont, NY 10538 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
| Jennifer P Hsu Md | 1690 Dixwell Ave., Apt 29, Hamden, CT 06514 | Physician/surgeon | 2010-12-01 ~ 2011-11-30 |
| Jennifer L Zajac | 200 Retreat Ave, Hartford, CT 06106 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jennifer L Cronsell | 12 Howe Pl, Milford, CT 06460 | Physician/surgeon | 2020-03-01 ~ 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).