JORDAN EVERETT ROSS (Credential# 1144032) 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.
JORDAN EVERETT ROSS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054107. 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 1379 Boulevard, West Hartford, CT 06119. The current status is active.
Licensee Name | JORDAN EVERETT ROSS |
Credential ID | 1144032 |
Credential Number | CSP.0054107 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
1379 Boulevard West Hartford CT 06119 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-02-22 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-09-20 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1133540 | 12.005296 | Advanced Practice Registered Nurse | 2013-02-14 | 2019-12-01 - 2020-11-30 | ACTIVE |
1126240 | 10.108870 | Registered Nurse | 2012-11-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
1127173 | 10.108602-TEMP | Registered Nurse - Temporary | 2012-10-11 | 2012-10-11 - 2013-02-08 | INACTIVE |
Street Address | 1379 Boulevard |
City | WEST HARTFORD |
State | CT |
Zip Code | 06119 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Emily A Mellor | 1379 Boulevard, West Hartford, CT 06119 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
Find all Licenses in zip 06119 |
City | WEST HARTFORD |
Zip Code | 06119 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dayna F Nethercott Pa | 8 Everett Rd, Carmel, NY 10512-2002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
James D Vandermeer | 900 Pacific Ave, Everett, WA 98206 | Controlled Substance Registration for Practitioner | 1993-04-20 ~ 1995-05-01 |
Everett B Cooper Md | St Vincents Medical Ctr, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Kathleen M Bannon Md | 1929 74th Street S E, Everett, WA 98203 | Controlled Substance Registration for Practitioner | 1998-05-07 ~ 1999-02-28 |
Jordan C Kawano | 128 Nash St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Jordan E Phillips | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Peter W Gardner | 92 Jordan Ln, Stamford, CT 06903-3914 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jordan C Collier | 543 Main St Apt 400, New Rochelle, NY 10801-7264 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sapna Khubchandani Md | 2 Jordan Ln, Unionville, CT 06085-1166 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jordan J Hirsch | 73 Market St, Yonkers, NY 10710-7616 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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).