JENNIFER B MASTROCOLA (Credential# 1240480) 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 B MASTROCOLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058536. 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 37 Ledge Rd, Plainville, CT 06062-2526. The current status is active.
| Licensee Name | JENNIFER B MASTROCOLA |
| Credential ID | 1240480 |
| Credential Number | CSP.0058536 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
37 Ledge Rd Plainville CT 06062-2526 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-08-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1235516 | 1.053457 | Physician/Surgeon | 2014-08-13 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 845786 | 70.006053 | Emergency Medical Technician | 2005-06-27 | 2006-09-08 - 2008-12-31 | INACTIVE |
| Street Address | 37 LEDGE RD |
| City | PLAINVILLE |
| State | CT |
| Zip Code | 06062-2526 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kurt J Benson | 108 Ledge Rd, Plainville, CT 06062-2526 | Medical Gas & Vacuum Systems Journeyperson | 2020-03-09 ~ 2020-10-31 |
| Stewart W Jaeger | 112 Ledge Rd, Plainville, CT 06062-2526 | Tv & Radio Antenna Installation & Repair Dealer | 2019-09-01 ~ 2020-08-31 |
| Scott H Paradis | 124 Ledge Rd, Plainville, CT 06062-2526 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tammy R Lamb · O | 23 Rockwell Ave, Plainville, CT 06062 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Melissa St. Jean | 26 Maxine Road, Plainville, CT 06062 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| John G Stewart | 100 Northwest Drive, Plainville, CT 06062 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Emma L Andrukat | 492 East St, Plainville, CT 06062 | Asbestos Consultant-project Monitor | 2020-08-01 ~ 2021-07-31 |
| Interstate Aviation Inc | Robertson Airport, Plainville, CT 06062 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Richard B Ahrens Jr | 16 Mohawk Rd, Plainville, CT 06062 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Interstate Aviation Inc | 62 Johnson Ave, Plainville, CT 06062 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Leone M Longo | 356 Farmington Ave, Plainville, CT 06062 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| For Goodness Sake Inc | 123a Whiting Street, Plainville, CT 06062 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Kathleen A Marsan | 44 Shuttlemeadow Rd, Plainville, CT 06062 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06062 | |||
| City | PLAINVILLE |
| Zip Code | 06062 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PLAINVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Y You Dmd | 921 State St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer L Koskinen | Po Box 44, Tumacacori, AZ 85640-0044 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer K Leung Md | Stamford, CT 06902-6866 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer Y Pan | 129 York St Apt 2g, New Haven, CT 06511-5640 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer G Kim Md | 155 Promenade Dr, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Jennifer L Traxler | 137 E Elm St, Greenwich, CT 06830-6614 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jennifer F Kherani | 2 Hughes Ave, Rye, NY 10580-1317 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2018-07-18 |
| Jennifer C Lee | 3 Gayridge Rd, Waterbury, CT 06705-3249 | Controlled Substance Registration for Practitioner | 2014-07-08 ~ 2015-02-28 |
| Jennifer A Digiacomo | 27 Oak St Ste D, Stamford, CT 06905-5304 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jennifer M Cardillo Pa-c | 76 Werking St, Plantsville, CT 06479-1631 | 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).