ZACHARY J JUPIN (Credential# 1289005) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
ZACHARY J JUPIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060454. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 141 Shennecossett Pkwy, Groton, CT 06340-5833. The current status is lapsed.
| Licensee Name | ZACHARY J JUPIN |
| Credential ID | 1289005 |
| Credential Number | CSP.0060454 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
141 Shennecossett Pkwy Groton CT 06340-5833 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2015-06-04 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1282443 | 23.003328 | Physician Assistant | 2015-05-31 | 2017-12-01 - 2018-11-30 | INACTIVE |
| Street Address | 141 SHENNECOSSETT PKWY |
| City | GROTON |
| State | CT |
| Zip Code | 06340-5833 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katelyn D Jupin | 141 Shennecossett Pkwy, Groton, CT 06340-5833 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer R Laptew | 181 Shennecossett Pkwy, Groton, CT 06340-5833 | Professional Counselor | 2020-02-01 ~ 2021-01-31 |
| Erin B Artale | 153 Shennecossett Pkwy, Groton, CT 06340-5833 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Davin J Williams | 181 Shennecossett Parkway, Groton, CT 06340-5833 | Professional Counselor | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katelyn D Jupin | 141 Shennecossett Pkwy, Groton, CT 06340-5833 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Zachary S Cavanaugh | 331 Ridgewood Rd, Hartford, CT 06107-3537 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zachary E Goldman | 144 Woodland St, Hartford, CT 06105-1210 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Zachary Klett Md | 8 Settlers Ln, Clinton, CT 06413 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Zachary Retalis | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | ~ |
| Zachary Mcclain | 11 Interlaken Rd, Lakeville, CT 06039-2141 | Controlled Substance Registration for Practitioner | 2019-09-24 ~ 2021-02-28 |
| James Zachary Porterfield | 614 Little River Rd, Norman, OK 73071-7127 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zachary M Roth | 56 Ledgewood Dr East, Weston, CT 06883-1132 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zachary D Walton | 120 Mill Rock Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zachary K Weiner Dvm | 9 Pinewood Lane, Groveland, MA 01834 | Controlled Substance Registration for Practitioner | 2007-06-20 ~ 2008-02-29 |
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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).