JENNIFER M GONZALEZ STEPHENS (Credential# 1192247) 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.
JENNIFER M GONZALEZ STEPHENS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056359. 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 178 Haverford Street, Hamden, CT 06517. The current status is active.
| Licensee Name | JENNIFER M GONZALEZ STEPHENS |
| Credential ID | 1192247 |
| Credential Number | CSP.0056359 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
178 Haverford Street Hamden CT 06517 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-11-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1180104 | 23.003016 | Physician Assistant | 2013-10-23 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1188085 | 23-TEMP | Physician Assistant Temporary Permit | - | INACTIVE |
| Street Address | 178 Haverford street |
| City | hamden |
| State | CT |
| Zip Code | 06517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | hamden |
| Zip Code | 06517 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Gonzalez | 11 Abbey Ln Unit 1316, Danbury, CT 06810-5215 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Charmaine B Stephens | 57 Biltmore St, Springfield, MA 01108-2613 | Controlled Substance Registration for Practitioner | 2019-12-31 ~ 2021-02-28 |
| Lloydacia A Stephens | 224 Bronx Ave, Bridgeport, CT 06606-4663 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nakita L Stephens | 600 Asylum Ave Apt 916, Hartford, CT 06105-3808 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Vincent J Stephens Md | 127 Vernon Rd, Bolton, CT 06043 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Alban Stephens Holyoke | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| K Stephens Taylor Md | 34 Rockwell Street, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Julie A Stephens | 52 Church Hill Rd, Newtown, CT 06470-1622 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kristen U Stephens Pa | 55 Pippin Drive West, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ronald W Stephens Dmd | 147 East Center Street, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Please comment or provide details below to improve the information on JENNIFER M GONZALEZ STEPHENS.
| 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).