JEANNE E HENDRICKSON (Credential# 1173275) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 11, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JEANNE E HENDRICKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055338. The credential type is controlled substance registration for practitioner. The effective date is September 11, 2019. The expiration date is February 28, 2021. The business address is 144 Driftwood Ln, Guilford, CT 06437-1950. The current status is active.
| Licensee Name | JEANNE E HENDRICKSON |
| Credential ID | 1173275 |
| Credential Number | CSP.0055338 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
144 Driftwood Ln Guilford CT 06437-1950 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-07-09 |
| Effective Date | 2019-09-11 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-09-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1164121 | 1.052156 | Physician/Surgeon | 2013-06-21 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 144 DRIFTWOOD LN |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-1950 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David M. Kotzbauer | 144 Driftwood Ln, Guilford, CT 06437-1950 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phillip E Hitchcock | 240 Driftwood Ln, Guilford, CT 06437-1950 | Wholesaler Salesman | 2017-02-01 ~ 2019-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | GUILFORD |
| Zip Code | 06437 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GUILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeanne Hendrickson · Yale University School of Medicine | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Laboratory | 2014-02-27 ~ |
| Amy C Wu | 4 Hendrickson Ln, Unionville, CT 06085-1091 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ulysses Wu Md | 4 Hendrickson Ln, Unionville, CT 06085-1091 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Loay A. Hammad Dds | 1 Hendrickson Ln, Unionville, CT 06085-1091 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert P Hendrickson | 60 Westwood Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elaine M Searle Aprn | 14 Hendrickson Ln, Unionville, CT 06085-1091 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Theodore H Hendrickson | 110 Dickerman Street, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 1997-04-03 ~ 1997-02-28 |
| Alexandra M Hendrickson Pa-c | 21332 Town Walk Dr, Hamden, CT 06518-3759 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Chase D Hendrickson | 21332 Town Walk Dr, Hamden, CT 06518-3759 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jeanne Kuslis Md | 392 Kensington Rd, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JEANNE E HENDRICKSON.
| 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).