JACQUELINE N BRYSACZ (Credential# 1244819) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
JACQUELINE N BRYSACZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058689. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 821 Orange St, New Haven, CT 06511-2507. The current status is inactive.
| Licensee Name | JACQUELINE N BRYSACZ |
| Credential ID | 1244819 |
| Credential Number | CSP.0058689 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
821 Orange St New Haven CT 06511-2507 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2014-09-12 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1241823 | 12.005907 | Advanced Practice Registered Nurse | 2014-09-10 | 2015-09-01 - 2016-08-31 | INACTIVE |
| 1227796 | 10.120866 | Registered Nurse | 2014-08-01 | 2015-09-01 - 2016-08-31 | INACTIVE |
| 1228585 | 10.119550-TEMP | Registered Nurse - Temporary | 2014-06-11 | 2014-06-11 - 2014-10-08 | INACTIVE |
| Street Address | 821 ORANGE ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-2507 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Isabel Hirsch | 821 Orange St, New Haven, CT 06511-2507 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Iva L Esparza | 821 Orange St, New Haven, CT 06511-2507 | Registered Nurse | 2019-10-01 ~ 2020-10-31 |
| Alicia Zezza Conte | 821 Orange St, New Haven, CT 06511 | Master's Level Social Worker - Temporary Permit | 2020-06-22 ~ 2020-09-08 |
| David J Horne Md | 821 Orange St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Channon Conner | 801 Orange St, New Haven, CT 06511-2507 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Lauren Mary Bonham | 801 Orange St Apt 2b, New Haven, CT 06511-2507 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Cristiana O Clark | 825 Orange St Fl 2, New Haven, CT 06511-2507 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nancy M Wagner | 813 Orange St Apt 3, New Haven, CT 06511-2507 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
| Marie N Schwartz | 811 Orange St, New Haven, CT 06511-2507 | Registered Nurse | 2014-04-01 ~ 2015-03-31 |
| Ian M Dunn | 801 Orange St # 1, New Haven, CT 06511-2507 | Electrical Unlimited Journeyperson | 2012-11-18 ~ 2013-09-30 |
| Katharine Wick | 801 Orange St, New Haven, CT 06511-2507 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline M. S. Winterkorn | Po Box 222, Roxbury, CT 06783-0222 | Controlled Substance Registration for Practitioner | 2015-05-05 ~ 2017-02-28 |
| Jacqueline Campisi | Po Box 475, Mystic, CT 06355-0475 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jacqueline K Henchel | 290 Mckinley Ave, New Haven, CT 06515-2012 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacqueline M Doyle Pa | 31 Scarlet Ln, Windsor, CT 06095-4769 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jacqueline Rohan | 122 Water St Apt 121, Leominster, MA 01453-3270 | Controlled Substance Registration for Practitioner | 2020-03-24 ~ 2021-02-28 |
| Jacqueline Goulart Berliner | 25 Grove St, Cos Cob, CT 06807-2020 | Controlled Substance Registration for Practitioner | 2020-05-21 ~ 2021-02-28 |
| Jacqueline A Bonanno | 524 E 20th St Apt 8c, New York, NY 10009-1307 | Controlled Substance Registration for Practitioner | 2015-05-28 ~ 2017-02-28 |
| Jacqueline C Martin | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacqueline D Fernandes | 108 Macomber Ln, Portsmouth, RI 02871-4115 | Controlled Substance Registration for Practitioner | ~ |
| Jacqueline L Hartzler Md | 55 Trumbull St Apt 102, Hartford, CT 06103-2401 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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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).