JESSICA D M FENNELL (Credential# 1352387) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
JESSICA D M FENNELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062637. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 368 Jude Ln, Southington, CT 06489-2226. The current status is inactive.
| Licensee Name | JESSICA D M FENNELL |
| Credential ID | 1352387 |
| Credential Number | CSP.0062637 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
368 Jude Ln Southington CT 06489-2226 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2016-07-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488463 | 1.057858-RES | Resident Physician | 2016-06-28 | 2016-06-28 - 2019-06-30 | INACTIVE |
| Street Address | 368 JUDE LN |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-2226 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Marie Holmquist | 368 Jude Ln, Southington, CT 06489-2226 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany A. Lee | 338 Jude Ln, Southington, CT 06489-2226 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Shaun T Thorpe | 318 Jude Ln, Southington, CT 06489-2226 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| L & L Landscaping & Masonry LLC | 338 Jude Ln, Southington, CT 06489-2226 | Home Improvement Contractor | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Courtney D Fennell | 406 Hagood St, Birmingham, AL 35213-2621 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew J Fennell | 4 Linnard Rd, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gail E Fennell | 90 South Ridge Street, Rye Brook, NY 10573 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jessica Li | Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2016-08-31 ~ 2017-02-28 |
| Jessica D O'brien | Suffern, NY 10901 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jessica E. Most | 58 Housatonic Dr, Milford, CT 06460-5034 | Controlled Substance Registration for Practitioner | 2013-06-12 ~ 2015-02-28 |
| Jessica H Van Rye | 134 Gungy Rd, Salem, CT 06420-3921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jessica M Hu | 100 Temple St Apt 208, New Haven, CT 06510-2728 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jessica S Lin | 129 York St, Apt 8a, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jessica O Yu Od | 602 Carter St, New Canaan, CT 06840-5021 | 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).