JERRI LYNNE JENSEN (Credential# 1604421) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
JERRI LYNNE JENSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062093. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 78 Wardwell Point Road, Penobscot, ME 04476. The current status is active.
| Licensee Name | JERRI LYNNE JENSEN |
| Credential ID | 1604421 |
| Credential Number | 1.062093 |
| Credential Type | Physician/Surgeon |
| Business Address |
78 Wardwell Point Road Penobscot ME 04476 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-11-02 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-09-13 |
| Street Address | 78 Wardwell Point Road |
| City | Penobscot |
| State | ME |
| Zip Code | 04476 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Semmel | Hc 80 Box 50a, Penobscot, ME 04476 | Physician Assistant | 1995-09-20 ~ 1996-09-30 |
| Shirley G Bartok | Rte 166 Box 123b, Penobscot, ME 04476 | Licensed Practical Nurse | 1993-05-25 ~ 1994-07-31 |
| Robert W Norden | Rr1 Split Rock Way, Penobscot, ME 04476 | Electrical Limited Journeyperson | 2003-10-01 ~ 2004-09-30 |
| Harvard S Bridges | 38 Little Mud Pond Rd, Penobscot, ME 04476-3845 | Pharmacy Intern | 2013-10-07 ~ 2017-09-30 |
| City | Penobscot |
| Zip Code | 04476 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Penobscot |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jerri N Fitzgerald | 72 Davis Road, Southwick, MA 01077 | Physician/surgeon | 2009-02-05 ~ 2010-03-31 |
| Jerri-lynne Tyler | 15 Pleasant St, Vernon, CT 06066-3313 | Massage Therapist | 2016-09-01 ~ 2018-08-31 |
| Tom & Jerri's · Michel Angelo's Pizza Inc | 8251 Cromwell Ave, Rocky Hill, CT 06067 | Frozen Dessert Retailer | 2001-01-01 ~ 2001-12-31 |
| Philip B Jensen | Po Box 606, Lincoln, MA 01773-0606 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Gordon D Jensen | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ 1954-01-31 |
| Jonathan Jensen | 101 Morris St., Albany, NY 12208 | Physician/surgeon | 1988-05-27 ~ 1992-05-31 |
| G O Jensen | 116 Belridge Road, Bristol, CT 06010 | Physician/surgeon | 2007-02-05 ~ 2008-02-29 |
| Judd M. Jensen | 4 Glen Cove Dr Ste 102, Rockport, ME 04856-4236 | Physician/surgeon | ~ 1986-06-30 |
| Caroline Jensen | 11319 N Via Milano Way, Fresno, CA 93730 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| James Jensen M.d. | 3114 Nw Spencer St, Portland, OR 97229 | Physician/surgeon | 2004-03-15 ~ 2005-04-30 |
Please comment or provide details below to improve the information on JERRI LYNNE JENSEN.
| 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).