JENNA BUTNER (Credential# 1221961) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JENNA BUTNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053322. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 5-11 47th Avenue, Long Island City, NY 11101. The current status is active.
| Licensee Name | JENNA BUTNER |
| Credential ID | 1221961 |
| Credential Number | 1.053322 |
| Credential Type | Physician/Surgeon |
| Business Address |
5-11 47th Avenue Long Island City NY 11101 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-16 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1221579 | CSP.0057142 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-23 | 2020-03-26 - 2021-02-28 | ACTIVE |
| Street Address | 5-11 47th Avenue |
| City | Long Island City |
| State | NY |
| Zip Code | 11101 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Malka Loeb | 43-22 Queens St, Long Island City, NY 11101 | Dentist | ~ |
| Salman R Punekar | 2840 Jackson Ave, Long Island City, NY 11101 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Anna Loiterstein | 21-10 44th Drive, Long Island City, NY 11101 | Psychologist | ~ |
| Amarantha Zyanya Quintana-morales | 27-28 Thomson Ave, Long Island City, NY 11101 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stuart Narofsky | 37-18 Northern Blvd Suite 317, Long Island City, NY 11101 | Architect | 2020-08-01 ~ 2021-07-31 |
| Rebekah Wright | 43-25 Hunter Street, Long Island City, NY 11101 | Registered Nurse | ~ |
| Tom Cat Bakery Inc | 43-05 10th St, Long Island City, NY 11101 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Laurent-perrier Inc. · Laurent-perrier U S Inc | 3718 Northern Boulevard #413, Long Island City, NY 11101 | Out of State Shipper Liquor | 2020-05-21 ~ 2021-05-20 |
| Carly M Mcloughlin | 41-18 Crescent Street #6h, New York, NY 11101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chenelle Jones | 41-18 Vernon Blvd, Long Island City, NY 11101 | Registered Nurse | ~ |
| Find all Licenses in zip 11101 | |||
| City | Long Island City |
| Zip Code | 11101 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Long Island City |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lana O Butner | 992 High Ridge Rd Fl 3, Stamford, CT 06905-1616 | Naturopathic Physician | 2020-04-01 ~ 2021-03-31 |
| Jenna Lynn Klimovich | 19 Lenore Dr, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jenna Koliani-pace | 300 Western Blvd Ste A, Glastonbury, CT 06033-4305 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sonya T Edgerton · Truett | Po Box 311, Butner, NC 27509 | Registered Nurse | 2017-06-01 ~ 2018-05-31 |
| Lynn H Butner | 297 Lawrence Road, Trumbull, CT 06611 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Teresa Michelle Butner | 2955 Old Hill Rd, Floyds Knobs, IN 47119-9748 | Registered Nurse | 2018-08-20 ~ 2019-07-31 |
| Jenna C Henderson | 65 Plattekill Ave, New Paltz, NY 12561-2124 | Naturopathic Physician | 2019-11-01 ~ 2020-10-31 |
| Jenna Ulrich | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Jenna Turcotte | 142 Autumn St Apt G, Agawam, MA 01001-2851 | Physician Assistant | 2016-06-01 ~ 2017-05-31 |
| Jenna Garozzo | 21 Windsor Rd, Milford, MA 01757 | Physician Assistant | 2017-10-01 ~ 2018-09-30 |
Please comment or provide details below to improve the information on JENNA BUTNER.
| 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).