JILLIAN M DIFAZIO (Credential# 1258626) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 12, 2014. The license expiration date date is February 28, 2017. The license status is INACTIVE.
JILLIAN M DIFAZIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059129. The credential type is controlled substance registration for practitioner. The effective date is December 12, 2014. The expiration date is February 28, 2017. The business address is 225 E 95th St Apt 22b, New York, NY 10128-4007. The current status is inactive.
| Licensee Name | JILLIAN M DIFAZIO |
| Credential ID | 1258626 |
| Credential Number | CSP.0059129 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
225 E 95th St Apt 22b New York NY 10128-4007 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2014-12-12 |
| Effective Date | 2014-12-12 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1237343 | 47.004006 | Veterinarian | 2014-08-25 | 2016-02-01 - 2017-01-31 | INACTIVE |
| Street Address | 225 E 95TH ST APT 22B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128-4007 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin D Plancher Md | 1160 Park Avenue, New York, NY 10128 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David Vlahov | 250 E 87th St. Apt 25aj, New York, NY 10128 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Richard Lewis Kadin | 47 E. 87th Street, New York, NY 10128 | Architect | 2018-08-01 ~ 2019-07-31 |
| Wesbuilt Construction Managers LLC | 145 E 94th Street, New York, NY 10128 | Major Contractor | 2018-07-01 ~ 2019-06-30 |
| Gain G Lu | 110 East 87th Street, 3e, New York, NY 10128 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Mitzi H Liotta | 45 East 89th St, New York, NY 10128 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Carla Gergi Sawan | Apartment 5g, New York, NY 10128 | Physician/surgeon | ~ |
| Tyler S Lucas Md | 1349 Lexington Avenue #4d, New York, NY 10128 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter S Rattner | 50 East 89th St, New York, NY 10128 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer Sarah Millman | 108 E 96th St, New York, NY 10128 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10128 | |||
| City | NEW YORK |
| Zip Code | 10128 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian K Joseph | 112 Uncatena Ave, Worcester, MA 01606-1814 | Controlled Substance Registration for Practitioner | 2013-03-25 ~ 2015-02-28 |
| Jillian L Marousek Md | 36 Lake Dr, Darien, CT 06820-3121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian M Grant | 15 Corporate Dr, Trumbull, CT 06611-1351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian N Gormley | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jillian K Ross | 926 Greenway Rd, Woodbridge, CT 06525-2413 | Controlled Substance Registration for Practitioner | 2020-04-24 ~ 2021-02-28 |
| Jillian Leclair Md | Mc 2941, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jillian M Kalinchak | 159 David Rd, Durham, CT 06422-2601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian R Hevey Pa | 100 Trilby Ave, Chicopee, MA 01020-1037 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jillian Dumeer | 203 Sterling Drive, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jillian A Perez | 205 Main St, East Haven, CT 06512-3003 | 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).