JENNIFER AMY PRESCOTT-CORAGGIO (Credential# 1414463) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JENNIFER AMY PRESCOTT-CORAGGIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057162-DO. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 15 Wellesley Way, Medford, NJ 08055. The current status is active.
| Licensee Name | JENNIFER AMY PRESCOTT-CORAGGIO |
| Credential ID | 1414463 |
| Credential Number | 1.057162-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
15 Wellesley Way Medford NJ 08055 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-11-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-17 |
| Street Address | 15 Wellesley Way |
| City | Medford |
| State | NJ |
| Zip Code | 08055 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Selene K Bantz | 320 Jackson Road, Medford, NJ 08055 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sung K Ro | 9 Somerton Square, Medford, NJ 08055 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| William J Porter · Allstate Conveyor Service Inc | 40 S. Lakeside Dr. W., Medford, NJ 08055 | Elevator Limited Conveyor Contractor | 2019-09-01 ~ 2020-08-31 |
| Daniel F O'brien | 8 Enclave Court, Medford, NJ 08055 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
| Lina Marcela Velez | 2 Dakota Trail, Medford, NJ 08055 | Registered Nurse - Temporary | 2016-08-29 ~ 2016-12-26 |
| James P Scott | 36 Cranberry Ct, Medford, NJ 08055 | Professional Engineer | 1993-01-25 ~ 1994-01-31 |
| Bryan H Atkinson | 1 Eden Circle Rd, Medford, NJ 08055 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
| Mary F Etter | 15 Elderberry Drive, Medford, NJ 08055 | Registered Nurse | 2014-07-01 ~ 2015-06-30 |
| Stephen E Pilch | 92 Manhasset Trail, Medford Lakes, NJ 08055 | Radiographer | 2013-05-01 ~ 2014-04-30 |
| Patricia A Gregg | 104 Pine Valley Dr, Medford, NJ 08055 | Registered Nurse | 2013-03-01 ~ 2014-02-28 |
| Find all Licenses in zip 08055 | |||
| City | Medford |
| Zip Code | 08055 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Medford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer E Cohen | 6415 Prescott Lane, Dallas, TX 75230 | Physician/surgeon | 2020-03-26 ~ 2020-08-31 |
| Coraggio Chianti | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2009-03-27 ~ 2012-03-26 |
| Ray W Johnson | Po Box 10730, Prescott, AZ 86304-0730 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Hashem B El-serag | 1-d Prescott H, Greenwich, CT 06830 | Physician/surgeon | ~ 1995-07-31 |
| Helen A. Pass | 54 Prescott Ave, Bronxville, NY 10708-1719 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Carl C Balog | Prescott House, Greenwich, CT 06830 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
| David A Listman | 15 Prescott Ave, White Plains, NY 10606-3606 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| Benoit A Luyckx | 5179 Wellness Way, Prescott, AZ 86301 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Blake D Prescott | 1022 Storrs Rd, Storrs, CT 06268 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| Prescott Wines Inc | 1133 Broadway Ste 1126, New York, NY 10010-7975 | Out of State Shipper Liquor | 2009-04-24 ~ 2010-04-21 |
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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).