JENNIFER PALLONE (Credential# 1627773) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 23, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JENNIFER PALLONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070142. The credential type is controlled substance registration for practitioner. The effective date is January 23, 2019. The expiration date is February 28, 2021. The business address is 1497 Rosewood Ln, Schererville, IN 46375-1088. The current status is active.
| Licensee Name | JENNIFER PALLONE |
| Credential ID | 1627773 |
| Credential Number | CSP.0070142 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1497 Rosewood Ln Schererville IN 46375-1088 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-01-23 |
| Effective Date | 2019-01-23 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1616259 | 1.062273-DO | Physician/Surgeon | 2019-01-17 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 1497 ROSEWOOD LN |
| City | SCHERERVILLE |
| State | IN |
| Zip Code | 46375-1088 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas A Georgiou | 500 Wilderness Dr, Schereville, IN 46375 | Architect | 2004-08-01 ~ 2005-07-31 |
| David J Tokar | 225 Bunker Dr, Schererville, IN 46375 | Pharmacist | 2000-02-01 ~ 2001-01-31 |
| Derek J Morgan | 425 Spivak Dr, Schererville, IN 46375-1242 | Real Estate Broker | ~ |
| Autism Spectrum Disorder Foundation Inc · Myasdf; Autism Awareness Program; Autistic Children of America | 228 W Us Highway 30 # 301, Schererville, IN 46375-1854 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Laura Thompson | 2140 Sherwood Lake Dr, Schererville, IN 46375-2709 | Interior Designer | 2015-11-04 ~ 2016-12-31 |
| Michael J Filler | 4941 W 75th Ave, Schererville, IN 46375-3418 | Registered Nurse | 2013-02-06 ~ 2013-12-31 |
| City | SCHERERVILLE |
| Zip Code | 46375 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SCHERERVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer C Lee | 3 Gayridge Rd, Waterbury, CT 06705-3249 | Controlled Substance Registration for Practitioner | 2014-07-08 ~ 2015-02-28 |
| Jennifer G Kim Md | 155 Promenade Dr, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Jennifer L Koskinen | Po Box 44, Tumacacori, AZ 85640-0044 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer Y Pan | 129 York St Apt 2g, New Haven, CT 06511-5640 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer Y You Dmd | 921 State St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer K Leung Md | Stamford, CT 06902-6866 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer L Traxler | 137 E Elm St, Greenwich, CT 06830-6614 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jennifer A Digiacomo | 27 Oak St Ste D, Stamford, CT 06905-5304 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jennifer F Kherani | 2 Hughes Ave, Rye, NY 10580-1317 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2018-07-18 |
| Jennifer L Brackett | 43 Beechwood Ln, New Haven, CT 06511 | 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).