RENA C JACOBS (Credential# 896807) 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.
RENA C JACOBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046761. 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 12 Knollwood Rd, West Hartford, CT 06110-1732. The current status is active.
| Licensee Name | RENA C JACOBS |
| Credential ID | 896807 |
| Credential Number | CSP.0046761 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
12 Knollwood Rd West Hartford CT 06110-1732 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-10-09 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 890759 | 23.002304 | Physician Assistant | 2009-08-27 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 748738 | 26.001820 | Respiratory Care Practitioner | 2001-12-04 | 2012-01-01 - 2012-12-31 | INACTIVE |
| Street Address | 12 KNOLLWOOD RD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06110-1732 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diem Thuy Nguyen | 25 Brian Road, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Dominick E Deslauriers | 67 Red Top Drive, West Hartford, CT 06110 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Markos Raptis Dds | 61 Park Place Circle, West Hartford, CT 06110 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Keith A Dumond | 83 Mayflower Street, West Hartford, CT 06110 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Yayan Tong | 6 Steven St, West Hartford, CT 06110 | Nail Technician | ~ |
| Apsara Thapa | 15 Lewis Lane, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Aneudi J Rodriguez Perez | 24 Elmhurt Circle, West Hartford, CT 06110 | Real Estate Salesperson | ~ |
| Frances B Gurtman Md | 445 S Main Street, West Hartford, CT 06110 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Diana M Rodriguez | 445 South Main St, West Hartford, CT 06110 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jong Lee | 6 Timothy, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06110 | |||
| City | WEST HARTFORD |
| Zip Code | 06110 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rena Fortier Md | 1051 Long Ridge Road, Stamford, CT 06903 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert J Jacobs | 100 Rte 37, New Fairfield, CT 06812 | Controlled Substance Registration for Practitioner | 2019-02-04 ~ 2019-02-28 |
| Edyta M Jacobs | 25 Wildcat Rd, Burlington, CT 06013-2424 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wenli Gao | 9 Jacobs Lane, Newtown, CT 06470 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Saranya Sakhamuri | 16 Jacobs Ln, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Catherine Jacobs | 2 Park Pl Apt 14k, Hartford, CT 06106-5014 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gabriel B Jacobs | 80 Howe St Apt 100, New Haven, CT 06511-4630 | Controlled Substance Registration for Practitioner | 2010-12-17 ~ 2013-02-28 |
| Henry E Jacobs | 1 Northwestern Dr, Bloomfield, CT 06002-3400 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rose E Jacobs | 46 Twilight Dr, Granby, CT 06035 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason Jacobs | 141 Deerfield Ln N, Pleasantville, NY 10570-1430 | Controlled Substance Registration for Practitioner | 2019-01-08 ~ 2021-02-28 |
Please comment or provide details below to improve the information on RENA C JACOBS.
| 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).