JESSICA SURGENOR (Credential# 2058281) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license status is PENDING.
JESSICA SURGENOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074640. The credential type is controlled substance registration for practitioner. The business address is 45 Saint John St Apt 2, Jamaica Plain, MA 02130-2533. The current status is pending.
| Licensee Name | JESSICA SURGENOR |
| Credential ID | 2058281 |
| Credential Number | CSP.0074640 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
45 Saint John St Apt 2 Jamaica Plain MA 02130-2533 |
| Business Type | INDIVIDUAL |
| Status | PENDING - NEW APPLICATION REVIEW REQUIRED |
| Refresh Date | 2020-06-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2055599 | 23 | Physician Assistant | - | PENDING |
| Street Address | 45 SAINT JOHN ST APT 2 |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130-2533 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Ann Nichols | 3611 Washington Street Unit B627, Boston, MA 02130 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Claire L Fellman | 90 Forest Hill St #3, Jamaica Plain, MA 02130 | Landscape Architect | 2019-01-30 ~ 2019-07-31 |
| Ginger Mills | 150 South Huntington Avenue, Boston, MA 02130 | Psychologist | ~ |
| Paolo Bidin | 227a Lamartine Street, Jamaica Plain, MA 02130 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Joaquin Q Camara-quintana | 101 South Huntington Ave, Jamaica Plain, MA 02130 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Community Servings · Pie In The Sky | 18 Marbury Terrace, Jamaica Plain, MA 02130 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Michael J Hart | 28 Grovenor Rd, Jamaica Plain, MA 02130 | Temporary Certified General Real Estate Appraiser | 2019-09-03 ~ 2020-03-03 |
| Lauren L Forni | 3611 Washington Street Unit B430, Boston, MA 02130 | Pharmacist | 2020-02-03 ~ 2022-01-31 |
| Jill Canora | 3 Edge Hill St, Boston, MA 02130 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Shannon F Manzi | 202 Chestnut Ave, Jamaica Plain, MA 02130 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 02130 | |||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + JAMAICA PLAIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Li | Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2016-08-31 ~ 2017-02-28 |
| Jessica K Bland | 25 Myrica Ave, Rye, NH 03870-2632 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jessica M Hu | 100 Temple St Apt 208, New Haven, CT 06510-2728 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jessica M Lamanna | 965 B St, Ashland, OR 97520-2031 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jessica E. Most | 58 Housatonic Dr, Milford, CT 06460-5034 | Controlled Substance Registration for Practitioner | 2013-06-12 ~ 2015-02-28 |
| Jessica O Yu Od | 602 Carter St, New Canaan, CT 06840-5021 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jessica Su | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jessica S Lin | 129 York St, Apt 8a, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jessica D O'brien | Suffern, NY 10901 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jessica M Sin | 5 Perryridge Rd, Greenwich, CT 06830-4697 | Controlled Substance Registration for Practitioner | 2011-06-10 ~ 2013-02-28 |
Please comment or provide details below to improve the information on JESSICA SURGENOR.
| 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).