JEAN ELIZABETH MACK-FOGG (Credential# 1532420) 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 ACTIVE.
JEAN ELIZABETH MACK-FOGG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069166. 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 391 Sea Hill Rd, North Branford, CT 06471-1413. The current status is active.
| Licensee Name | JEAN ELIZABETH MACK-FOGG |
| Credential ID | 1532420 |
| Credential Number | CSP.0069166 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
391 Sea Hill Rd North Branford CT 06471-1413 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-25 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1470877 | 12.007475 | Advanced Practice Registered Nurse | 2018-02-15 | 2019-06-01 - 2020-05-31 | ACTIVE |
| 1471237 | 10.148167 | Registered Nurse | 2018-02-08 | 2019-06-01 - 2020-05-31 | ACTIVE |
| 1490185 | 10.148162-TEMP | Registered Nurse - Temporary | 2018-02-08 | 2018-02-08 - 2018-06-07 | INACTIVE |
| Street Address | 391 SEA HILL RD |
| City | NORTH BRANFORD |
| State | CT |
| Zip Code | 06471-1413 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Classic Welding On Wheels Inc | 399 Sea Hill Rd, North Branford, CT 06471-1413 | Home Improvement Contractor | 2018-12-18 ~ 2019-11-30 |
| Christopher Mignosa | 393 Sea Hill Rd, North Branford, CT 06471-1413 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Joseph M Lynch | 385 Sea Hill Rd, North Branford, CT 06471-1413 | Emergency Medical Technician | 2015-10-15 ~ 2018-07-01 |
| Jordan A Vogt | 409 Sea Hill Rd, North Branford, CT 06471-1413 | Engineer-in-training | 2018-06-12 ~ 2028-06-12 |
| Exsell M Negron | 411 Sea Hill Rd, North Branford, CT 06471-1413 | Tv & Radio Limited Dish Antenna Technician | 2016-09-01 ~ 2017-08-31 |
| Walter L Goad Jr | 399 Sea Hill Rd, North Branford, CT 06471-1413 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Qilin Piao | 280 Brandford Rd, Brandford, CT 06471 | Nail Technician | ~ |
| Jill L Williams | 7 Harrison Rd, North Branford, CT 06471 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sophia Ivana Didiano | 201 Branford Rd, N Branford, CT 06471 | Master's Level Social Worker | ~ |
| Rachel Lauren Cohen | North Branford Dental Group, North Branford, CT 06471 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Concepcion Isela De Mejia | 999 Foxon Rd Unit 9, North Branford, CT 06471 | Nail Technician | ~ |
| Cherry Hill Construction & Demolition · Ciro Associates LLC | 51 Ciro Rd, N Branford, CT 06471 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Rose Orhcards Farm Market | 33 Route 139, North Branford, CT 06471 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sandra L Cappello | 33 Edgewood Dr, North Branford, CT 06471 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Melissa T Anderson | 14 Pine Hollow Rd, North Branford, CT 06471 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| A Best Buy Premium Fuel & Trucking LLC | 196 West Pond Ext, North Branford, CT 06471 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06471 | |||
| City | NORTH BRANFORD |
| Zip Code | 06471 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Jean Fedorko | Po Box 599, Brookfield, CT 06804-0599 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Jean Kaladeen | 9 Simmons Court, Trenton, ON K8V 6M9 | Controlled Substance Registration for Practitioner | 2020-06-15 ~ 2021-02-28 |
| Joanna H Fogg-waberski | 1 Gold St # 24-hj, Hartford, CT 06103-2900 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lyman B Fogg Md · Radiology & Imaging | 31 Irene Drive, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Alphonso L Mack | 30, Burlington, CT 06103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah Daigle | 72 Mack St., Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Mack | 40 E Putnam Avenue, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John E Kelleher Jr | 26 Mack Rd, Middlefield, CT 06455-1104 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lisa Mack | 85 Seymour St, Hartford, CT 06106-5501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven C Fitch | 321 Mack Rd, Lebanon, CT 06249-1718 | 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).