JILL E FULLER (Credential# 1178091) 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.
JILL E FULLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055831. 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 1244 Storrs Rd, Storrs Mansfield, CT 06268. The current status is active.
| Licensee Name | JILL E FULLER |
| Credential ID | 1178091 |
| Credential Number | CSP.0055831 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1244 Storrs Rd Storrs Mansfield CT 06268 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-08-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1168298 | 12.005403 | Advanced Practice Registered Nurse | 2013-07-18 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1168297 | 10.111729 | Registered Nurse | 2013-06-25 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 1244 STORRS RD |
| City | STORRS MANSFIELD |
| State | CT |
| Zip Code | 06268 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Perception Programs Behavioral Health Center | 1244 Storrs Rd, Storrs Mansfield, CT 06268-2200 | Substance Abuse | 2019-07-01 ~ 2021-06-30 |
| Starbucks Coffee #7863 | 1244 Storrs Rd, Storrs Mansfield, CT 06268-2200 | Operator of Weighing & Measuring Devices | 2019-08-05 ~ 2020-07-31 |
| Bhavin Patel · Universal Package - Storrs | 1244 Storrs Rd, Storrs Mansfield, CT 06268-2200 | Package Store Liquor | 2019-07-31 ~ 2020-07-30 |
| Carl G Bardy Jr · Universal Package - Storrs | 1244 Storrs Rd, Storrs Mansfield, CT 06268-2200 | Package Store Liquor | 2019-04-11 ~ 2020-04-10 |
| Mansfield Martial Arts LLC | 1244 Storrs Rd, Storrs Mansfield, CT 06268-2200 | Martial Arts Health Club | 2013-10-30 ~ 2014-09-30 |
| Jason A Howell · Jack Rabbits | 1244 Storrs Rd, Storrs Mansfield, CT 06268-2200 | Restaurant Wine & Beer | 2012-08-26 ~ 2013-08-25 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | STORRS MANSFIELD |
| Zip Code | 06268 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STORRS MANSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyle J Fuller | Po Box 530, Wauregan, CT 06387-0530 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kisti D Fuller | 24 Elm Dr, West Hartford, CT 06110-1007 | Controlled Substance Registration for Practitioner | 2013-03-12 ~ 2015-02-28 |
| George F Fuller Md | 59 Pulaski Highway, Ansonia, CT 06401-2828 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce W Fuller | 120 Marvelwood Drive, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Robert P Fuller | 200 Fern St, West Hartford, CT 06119-1164 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Monika V Fuller | 90 Nichole Court, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| S Steven Wolfson Md | 83 Fuller Dr, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Pamela Eze | 118 Fuller Drive, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Breanne Lee Fuller | 2437 Bedford St Unit F7, Stamford, CT 06905-3924 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jill L Barron Md | P.o. Box 535, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on JILL E FULLER.
| 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).