JENNIE M WANG (Credential# 1175809) 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.
JENNIE M WANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055640. 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 2842 Main St # 231, Glastonbury, CT 06033-1077. The current status is inactive.
| Licensee Name | JENNIE M WANG |
| Credential ID | 1175809 |
| Credential Number | CSP.0055640 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2842 Main St # 231 Glastonbury CT 06033-1077 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-07-25 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1348845 | 1.055259-DO | Physician/Surgeon | 2016-05-17 | 2016-05-17 - 2017-02-28 | INACTIVE |
| Street Address | 2842 MAIN ST # 231 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-1077 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debmalya Mukherjee | 2842 Main St Apt 305, Glastonbury, CT 06033-1077 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne M Mumley | 2842 Main St Ste 134, Glastonbury, CT 06033-1077 | Nursing Home Administrator | 2020-02-13 ~ 2021-08-31 |
| Neal J Wetmore | 2842 Main St # 109, Glastonbury, CT 06033-1077 | Optician | 2020-02-01 ~ 2021-01-31 |
| Sam Dougherty · Daugherty Contracting | 2842 Main St, Glastonbury, CT 06033-1077 | Home Improvement Contractor | 2015-05-06 ~ 2015-11-30 |
| Philip C Collins | 2842 Main St Ste 222, Glastonbury, CT 06033-1077 | Radiographer | 2011-04-01 ~ 2012-03-31 |
| K-n Sealcoating Construction LLC | 2842 Main St, Glastonbury, CT 06033-1077 | Home Improvement Contractor | 2012-12-06 ~ 2013-11-30 |
| Dawn C Grondin | 2842 Main St, Glastonbury, CT 06033-1077 | Community Association Manager | 2010-04-12 ~ 2011-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennie J Cho | 100 Temple St Apt 304, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Jennie B Nally Md | 761 Main Ave Ste 102, Norwalk, CT 06851-1080 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennie Webb | 33 Grandview Dr Apt D, Farmington, CT 06032-1318 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zi Wang | 111 Park St., New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Xiaoxiao Wang | 111 Park St Apt 14f, New Haven, CT 06511-5421 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kai-yi Wang-chu | 333 Chews Landing Rd, Haddonfield, NJ 08033-3839 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Oliver J Wang Md | 28 Elmwood Rd, New Haven, CT 06515-2242 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Charles Wang | 250 Judwin Ave, New Haven, CT 06515-2318 | Controlled Substance Registration for Practitioner | 2010-12-20 ~ 2013-02-28 |
| Hairong Wang | 35 W Hills Dr, Avon, CT 06001-2239 | Controlled Substance Registration for Practitioner | 2019-12-24 ~ 2021-02-28 |
| Qiaoqiao Wang | 20 Elizabeth St, Guilford, CT 06437-1734 | 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).