JESSICA R DESLAURIERS (Credential# 1490662) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JESSICA R DESLAURIERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058764-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2021. The business address is 76 Jaenicke Lane, Hamden, CT 06517. The current status is active.
| Licensee Name | JESSICA R DESLAURIERS |
| Credential ID | 1490662 |
| Credential Number | 1.058764-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
76 Jaenicke Lane Hamden CT 06517 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1230122 | CSP.0057546 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 76 Jaenicke Lane |
| City | Hamden |
| State | CT |
| Zip Code | 06517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | Hamden |
| Zip Code | 06517 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Ng | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jessica Li | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2016-07-01 ~ 2020-07-01 |
| Jessica Petrov | 265 College St Apt 5l, New Haven, CT 06510-2422 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Jessica D Bruce | 29 Bokum Rd, Chester, CT 06412-1339 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Jessica A Ashley | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| Jessica Miranda | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jessica Marino | 163 Franklin St Apt 217, Stamford, CT 06901-1038 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Jessica Greenberg | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2018-07-01 ~ 2022-06-30 |
| Jessica Tuan | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-02 ~ 2021-06-30 |
| Jessica Louie | 8202 167th St, Jamaica, NY 11432-1222 | Resident Physician | 2015-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on JESSICA R DESLAURIERS.
| 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).