JACQUELINE D FERNANDES (Credential# 1145382) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license status is EXPIRED APPLICATION.
JACQUELINE D FERNANDES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054133. The credential type is controlled substance registration for practitioner. The business address is 108 Macomber Ln, Portsmouth, RI 02871-4115. The current status is expired application.
| Licensee Name | JACQUELINE D FERNANDES |
| Credential ID | 1145382 |
| Credential Number | CSP.0054133 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
108 Macomber Ln Portsmouth RI 02871-4115 |
| Business Type | INDIVIDUAL |
| Status | EXPIRED APPLICATION |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1145415 | 12 | Advanced Practice Registered Nurse | - | EXPIRED APPLICATION | |
| 1145414 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 108 MACOMBER LN |
| City | PORTSMOUTH |
| State | RI |
| Zip Code | 02871-4115 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joan M Fiore | 28 Rebels Way, Portsmouth, RI 02871 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Paul Silveria | 161 Middle Road, Portsmouth, RI 02871 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Ludovic F Colle | 8 Tum A Lum Ciircle, Westerly, RI 02871 | Casino Class I Employee | 2019-12-19 ~ 2020-10-31 |
| Patrick H. Marshall | 1746 West Main Rd., Portsmouth, RI 02871 | Hoisting Equipment Operator | 2020-03-05 ~ 2022-03-04 |
| Deborah Light | 185 Hummocks Ave, Portsmouth, RI 02871 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Linda Evans | 68 Wapping Road, Portsmouth, RI 02871 | Physical Therapist Assistant | 2018-10-11 ~ 2019-10-31 |
| Paul G Laurienzo | 148 Thayer Dr, Portsmouth, RI 02871 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Joseph J Levesque | 241 Ferry Landing Circle, Portsmouth, RI 02871 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Michael J Smalec | 29 Baker Road, Portsmouth, RI 02871 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Traci L Fontaine | 58 Marial Rose Drive, Portsmouth, RI 02871 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 02871 | |||
| City | PORTSMOUTH |
| Zip Code | 02871 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORTSMOUTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah E Fernandes Pa | 37 Kinross Pl, Yonkers, NY 10703-2017 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sushmitha P Fernandes | 310 Mill Hill Ave # 2, Bridgeport, CT 06610-2863 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lori Fernandes Md | 306 Schoolside Lane, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Kevin Fernandes | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hermina Fernandes | 263 Farmington Ave, Farmington, CT 06032-1941 | Controlled Substance Registration for Practitioner | ~ |
| Eugene Fernandes | Danbury Hospital 2 South, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jacqueline Campisi | Po Box 475, Mystic, CT 06355-0475 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jacqueline M. S. Winterkorn | Po Box 222, Roxbury, CT 06783-0222 | Controlled Substance Registration for Practitioner | 2015-05-05 ~ 2017-02-28 |
| Jacqueline N Olayiwola Md | 192 Byam Rd, Waterbury, CT 06705-3913 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jacqueline R Satchell Md | 110 Bellevue Rd, New Haven, CT 06511-2800 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JACQUELINE D FERNANDES.
| 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).