JENNA M KIRK (Credential# 1372712) 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.
JENNA M KIRK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063847. 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 714 N Whitted St, Hendersonville, NC 28791-3354. The current status is lapsed.
| Licensee Name | JENNA M KIRK |
| Credential ID | 1372712 |
| Credential Number | CSP.0063847 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
714 N Whitted St Hendersonville NC 28791-3354 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2016-09-02 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1339598 | 2.011607 | Dentist | 2016-09-01 | 2017-10-01 - 2018-09-30 | INACTIVE |
| Street Address | 714 N WHITTED ST |
| City | HENDERSONVILLE |
| State | NC |
| Zip Code | 28791-3354 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane S Edwards | 128 Nob Hill Rd, Hendersonville, NC 28791 | Registered Nurse | 2012-02-01 ~ 2013-01-31 |
| Geraldine Fink | 90 Whitefield, Hendersonville, NC 28791 | Hairdresser/cosmetician | 2004-03-05 ~ 2006-04-30 |
| Diana O'neill · Hammond | 126 Broyres Rd, Hendersonville, NC 28791 | Licensed Practical Nurse | 1995-04-07 ~ 1996-06-30 |
| Karen E Reibold · Buckhannon | 10 Bradford Place, Hendersonville, NC 28791 | Registered Nurse | 2003-03-03 ~ 2004-02-29 |
| Kimberly K Orwoll | 1116 West Hills Rd, Hendersonville, NC 28791 | Registered Nurse | 2001-07-13 ~ 2002-04-30 |
| Kathleen L Mccauley | 2 South Woodridge View Court, Hendersonville, NC 28791 | Licensed Clinical Social Worker | 2005-02-03 ~ 2006-01-31 |
| Carriage Park · Carriage Park Associates LLC | 2827 Haywood Rd, Hendersonville, NC 28791-1329 | Interstate Land Sales Registration | 2014-01-01 ~ 2014-12-31 |
| Deborah J Fazio | 207 Tallyho Ln, Hendersonville, NC 28791-1374 | Licensed Practical Nurse | 2019-07-01 ~ 2020-06-30 |
| Adrian Matthew Painter IIi | 2013 Upper Ridgewood Blvd # A, Hendersonville, NC 28791-2253 | Registered Nurse | 2019-09-03 ~ 2020-09-30 |
| Carson J Carpenter | 1151 Woodmont Dr, Hendersonville, NC 28791-3357 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 28791 | |||
| City | HENDERSONVILLE |
| Zip Code | 28791 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HENDERSONVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew B Kirk Pa | 31 River Rd, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Claude E Forkner Jr | 20 Kirk Rd, W Cornwall, CT 06796 | Controlled Substance Registration for Practitioner | 1993-08-17 ~ 1995-09-01 |
| Michael D Kirk | 11 Prospect St, Essex, CT 06426-1010 | Controlled Substance Registration for Practitioner | 2017-03-13 ~ 2019-02-28 |
| Kirk N Campbell Md | 111 Park St#16a, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Kirk J Macnaught Md | 29 Meadowbrook Rd, Auburn, MA 01501 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Jenna M Kim | 123 York St Apt 20d, New Haven, CT 06511-5640 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jenna M Little | 32 Woodland Dr, Durham, CT 06422-1512 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kirk F Engel | 314 Flanders Rd, East Lyme, CT 06333 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kirk D Blais | 1659 Williams St, Denver, CO 80218-1706 | Controlled Substance Registration for Practitioner | 2013-06-10 ~ 2015-02-28 |
| Ellyn S Kirk Vmd | 57 Sturgeon River Rd, Glastonbury, CT 06033-2747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JENNA M KIRK.
| 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).