JILLIAN SMITH MD (Credential# 982926) 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.
JILLIAN SMITH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049542. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 7 Isleib Rd, Marlborough, CT 06447. The current status is active.
| Licensee Name | JILLIAN SMITH MD |
| Credential ID | 982926 |
| Credential Number | 1.049542 |
| Credential Type | Physician/Surgeon |
| Business Address |
7 Isleib Rd Marlborough CT 06447 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-02-28 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 988487 | CSP.0049781 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 7 Isleib Rd |
| City | Marlborough |
| State | CT |
| Zip Code | 06447 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda T Nachtigal Dvm | 86 Saner Road, Marlborough, CT 06447 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Victoria Demari Cartagena | 113 Hebron Road, Marlborough, CT 06447 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Christina L Abrahamson · Lonergan | 47 South Stonybrook Drive, Marlborough, CT 06447 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Bozena M Michalski · Marcowka | 18 Portland Rd, Marlborough, CT 06447 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Benedict C Valentine II | 8 Independence Drive, Marlborough, CT 06447 | Podiatrist | 2020-06-01 ~ 2021-05-31 |
| Nicolette M Banbury | 21 Cheney Road, Marlborough, CT 06447 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Lynn E Wohlfert | 117 North Main Street, Marlborough, CT 06447 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Jo-ellen D Beam | 120 Edstrom Rd, Marlborough, CT 06447 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kevin J Pease | 82 South Main St, Marlborough, CT 06447 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Lea L Lee | 38 Keirstead Circle, Marlborough, CT 06447 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06447 | |||
| City | Marlborough |
| Zip Code | 06447 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Marlborough |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth S Robson Md | 36 Jillian Cir, West Hartford, CT 06107-3159 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Jillian Kateri Warejko | 333 Cedar St, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas D Springer | 47 Jillian Circle, West Hartford, CT 06107 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| J David Schnatz Md | 14 Jillian Circle, West Hartford, CT 06107-3158 | Physician/surgeon | 2005-02-28 ~ 2006-04-30 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lou M Smith | Po Box 15538, Durham, NC 27704-0538 | Physician/surgeon | 1988-10-28 ~ 1989-02-28 |
| Eni Smith | 888 W Big Beaver Rd, Troy, MI 48084-4736 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robin L Smith | 930 5th Ave Apt 8h, New York, NY 10021-2680 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| C A Smith | Box 1524, Castle Afb, CA 95342 | Physician/surgeon | 1996-05-03 ~ 1997-04-30 |
| Dallas A Smith | Greensboro, NC 27410 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
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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).