JENNIFER J BLISKA (Credential# 1142903) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
JENNIFER J BLISKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054083. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 12 Allyndale Dr, Stratford, CT 06614. The current status is inactive.
| Licensee Name | JENNIFER J BLISKA |
| Credential ID | 1142903 |
| Credential Number | CSP.0054083 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
12 Allyndale Dr Stratford CT 06614 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-12-24 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1127410 | 12.005253 | Advanced Practice Registered Nurse | 2012-12-24 | 2015-11-01 - 2016-10-31 | INACTIVE |
| 582775 | 10.078773 | Registered Nurse | 2006-06-22 | 2015-11-01 - 2016-10-31 | INACTIVE |
| Street Address | 12 ALLYNDALE DR |
| City | Stratford |
| State | CT |
| Zip Code | 06614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph J Carter | 12 Allyndale Dr, Stratford, CT 06497 | Electrical Limited Journeyperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06614 | |||
| City | Stratford |
| Zip Code | 06614 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Stratford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer A Digiacomo | 27 Oak St Ste D, Stamford, CT 06905-5304 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jennifer F Kherani | 2 Hughes Ave, Rye, NY 10580-1317 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2018-07-18 |
| Jennifer C Lee | 3 Gayridge Rd, Waterbury, CT 06705-3249 | Controlled Substance Registration for Practitioner | 2014-07-08 ~ 2015-02-28 |
| Jennifer L Koskinen | Po Box 44, Tumacacori, AZ 85640-0044 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer Y Pan | 129 York St Apt 2g, New Haven, CT 06511-5640 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer L Traxler | 137 E Elm St, Greenwich, CT 06830-6614 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jennifer K Leung Md | Stamford, CT 06902-6866 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer G Kim Md | 155 Promenade Dr, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Jennifer Y You Dmd | 921 State St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer A Hamblett Lnm | 7745 9th Ave Nw, Seattle, WA 98117-4106 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on JENNIFER J BLISKA.
| 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).