COLLEEN O JO (Credential# 1281943) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
COLLEEN O JO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054340. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 38 Pine Brook Ln, West Hartford, CT 06107-3333. The current status is active.
| Licensee Name | COLLEEN O JO |
| Credential ID | 1281943 |
| Credential Number | 1.054340 |
| Credential Type | Physician/Surgeon |
| Business Address |
38 Pine Brook Ln West Hartford CT 06107-3333 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-07-01 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1301098 | CSP.0061048 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-07-22 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 38 PINE BROOK LN |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-3333 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Colleen M Brophy | 488 Whitney Ave 6b, New Haven, CT 06511 | Physician/surgeon | 1992-12-22 ~ 1994-01-31 |
| Colleen A Farrell Md | 28 Rockcroft Road, Weymouth, MA 02188 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
| Colleen M Mchugh | 71 Applewood Lane, Glastonbury, CT 06033 | Physician/surgeon | 1996-10-15 ~ 1997-10-31 |
| Colleen Gerrity | 65 Daventry Hill Rd, Avon, CT 06001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Colleen M Buffington | 1303 Hillside Dr, Lancaster, PA 17603-4706 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Colleen J Bergin Md | 11 Lakeview Rd, Takapuna, Auckland, NZ 0622 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Kelly Colleen Hanretta | 42 Sherwood Place, Greenwich, CT 06830 | Physician/surgeon | 2020-01-31 ~ 2020-07-31 |
| Colleen M Christiansen | 63 Atlantic Ave, Bluepoint, NY 11715 | Physician Assistant | 1995-08-17 ~ 1996-07-31 |
| Colleen Murphy | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2018-06-25 ~ 2022-06-30 |
| Colleen Delaney | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
Please comment or provide details below to improve the information on COLLEEN O JO.
| 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).