JACQUELINE M DESAGUN (Credential# 261932) 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.
JACQUELINE M DESAGUN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030561. 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 64 Raymond Road, West Hartford, CT 06107. The current status is active.
| Licensee Name | JACQUELINE M DESAGUN |
| Credential ID | 261932 |
| Credential Number | CSP.0030561 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
64 Raymond Road West Hartford CT 06107 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-02-20 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 772030 | 47.002355 | Veterinarian | 1994-06-03 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 64 Raymond Road |
| City | West Hartford |
| State | CT |
| Zip Code | 06107 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren M Mascola | 64 Raymond Road, West Hartford, CT 06107 | Veterinarian | 2020-02-01 ~ 2021-01-31 |
| Robert Spiegel Dvm | 64 Raymond Road, West Hartford, CT 06107 | Veterinarian | 2004-08-16 ~ 2005-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | West Hartford |
| Zip Code | 06107 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline M. S. Winterkorn | Po Box 222, Roxbury, CT 06783-0222 | Controlled Substance Registration for Practitioner | 2015-05-05 ~ 2017-02-28 |
| Jacqueline Campisi | Po Box 475, Mystic, CT 06355-0475 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jacqueline M Doyle Pa | 31 Scarlet Ln, Windsor, CT 06095-4769 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jacqueline Goulart Berliner | 25 Grove St, Cos Cob, CT 06807-2020 | Controlled Substance Registration for Practitioner | 2020-05-21 ~ 2021-02-28 |
| Jacqueline N Brysacz | 821 Orange St, New Haven, CT 06511-2507 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jacqueline A Bonanno | 524 E 20th St Apt 8c, New York, NY 10009-1307 | Controlled Substance Registration for Practitioner | 2015-05-28 ~ 2017-02-28 |
| Jacqueline K Henchel | 290 Mckinley Ave, New Haven, CT 06515-2012 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacqueline D Fernandes | 108 Macomber Ln, Portsmouth, RI 02871-4115 | Controlled Substance Registration for Practitioner | ~ |
| Jacqueline C Martin | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacqueline L Hartzler Md | 55 Trumbull St Apt 102, Hartford, CT 06103-2401 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on JACQUELINE M DESAGUN.
| 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).