JASON M NALL (Credential# 1221733) 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.
JASON M NALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057152. 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 14 Skyline Drive, Prospect, CT 06712. The current status is active.
| Licensee Name | JASON M NALL |
| Credential ID | 1221733 |
| Credential Number | CSP.0057152 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
14 Skyline Drive Prospect CT 06712 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-31 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1221183 | 23.003155 | Physician Assistant | 2014-07-30 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 823476 | 69.006053 | Emergency Medical Responder | 2006-02-21 | 2006-02-21 - 2007-12-31 | INACTIVE |
| Street Address | 14 Skyline Drive |
| City | Prospect |
| State | CT |
| Zip Code | 06712 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie B Vinci | 5 Hickory Dr, Prospect, CT 06712 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Brian J Gomez | 11 Klein Drive, Prospect, CT 06712 | Community Health Worker | ~ |
| Robin M Sills | 11 Hickory Drive, Prospect, CT 06712 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Erica L Boisvert | 30 Putting Green Lane, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mercury Fuel Service Inc · Mercury #24 Prospect | 68 Waterbury Prospect Rd, Prospect, CT 06712 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michael F Lynch | 27 Luke Street, Prospect, CT 06712 | Distribution System Operator - Class IIi | 2020-04-01 ~ 2023-03-31 |
| Michelle K Bathgate | 23 Nancy Mae Avenue, Prospect, CT 06712 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Czarina V Gillette | 7 Juggernaut Road, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Karli R Griffin | 62 Royal Crest Drive, Prospect, CT 06712 | Real Estate Salesperson | ~ |
| Jacob Frank Howson | 50 Sherwood Drive, Prospect, CT 06712 | Emergency Medical Responder | ~ |
| Find all Licenses in zip 06712 | |||
| City | Prospect |
| Zip Code | 06712 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Prospect |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason M Hammond | 1 3rd Ave, Mineola, NY 11501 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jason G. Lai | Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason C Sharp | 501 Walnut St, Lebanon, OR 97355-4458 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason H Ramsdell Pa-c | 35 Russell St #25, Griswold, CT 06351 | Controlled Substance Registration for Practitioner | 2009-03-10 ~ 2011-02-28 |
| Jason M Davis Md | 183 Cherry St, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason Davis | 24 Hospital Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2009-09-02 ~ 2011-02-28 |
| Jason D. Ackerman | 83 Cottage St, New Haven, CT 06511-2403 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jason S Rutherford | 533 Post Rd, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason B Untrauer Dds | 144 Carroll St #2, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2006-06-19 ~ 2007-02-28 |
| Jason D Prescott | 18 Evergreen Dr, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on JASON M NALL.
| 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).