JENNIFER R DECKER DPM (Credential# 1265700) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 5, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
JENNIFER R DECKER DPM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059385. The credential type is controlled substance registration for practitioner. The effective date is February 5, 2015. The expiration date is February 28, 2017. The business address is 1260 Silas Deane Hwy Ste 105, Wethersfield, CT 06109-4363. The current status is inactive.
| Licensee Name | JENNIFER R DECKER DPM |
| Credential ID | 1265700 |
| Credential Number | CSP.0059385 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1260 Silas Deane Hwy Ste 105 Wethersfield CT 06109-4363 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2015-02-05 |
| Effective Date | 2015-02-05 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 883922 | 19.000853 | Podiatrist | 2009-07-27 | 2015-11-01 - 2016-10-31 | INACTIVE |
| 892068 | CSP.0046384 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-08-28 | 2013-03-01 - 2015-02-28 | INACTIVE |
| 892400 | CSP.0046411 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE | |
| 892396 | CSM.0000301 | MANUFACTURER OF DRUGS, COSMETICS & MEDICAL DEVICES | - | PENDING |
| Street Address | 1260 SILAS DEANE HWY STE 105 |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109-4363 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Walker Md | 1260 Silas Deane Hwy Ste 105, Wethersfield, CT 06109-4363 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian D Timms Do | 1260 Silas Deane Hwy Ste 105, Wethersfield, CT 06109-4363 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Komsu F Mamuya Md | 1260 Silas Deane Hwy Ste 106, Wethersfield, CT 06109-4363 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Christine T Mccrary | 1260 Silas Deane Hwy Ste 105b, Wethersfield, CT 06109-4363 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen I Firshein Md | 1260 Silas Deane Hwy Ste 107, Wethersfield, CT 06109-4363 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas Savinelli Md | 1260 Silas Deane Hwy Ste 109a, Wethersfield, CT 06109-4363 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth A Merkatz Md | 1260 Silas Deane Hwy Ste 106, Wethersfield, CT 06109-4363 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christeen Mcardle Pa | 1260 Silas Deane Hwy Ste 106, Wethersfield, CT 06109-4363 | Physician Assistant | 2012-01-01 ~ 2012-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | WETHERSFIELD |
| Zip Code | 06109 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WETHERSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Decker Aprn | 10 Cobblestone Ln, Newtown, CT 06470-1778 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mark J Decker Md | 16 Main St, Ellington, CT 06029 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Nathan T Decker | 360 Federal Road, Brookfield, CT CT | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lindsay R Decker | 8 Hughes Place, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Barbara Decker Lnm | 1299 Stillwater Rd, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Jilyan Grace Rae Decker | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-06-28 ~ 2021-02-28 |
| Jennifer F Kherani | 2 Hughes Ave, Rye, NY 10580-1317 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2018-07-18 |
| 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 C Lee | 3 Gayridge Rd, Waterbury, CT 06705-3249 | Controlled Substance Registration for Practitioner | 2014-07-08 ~ 2015-02-28 |
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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).