LORI JENSEN CRETELLA (Credential# 281698) 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.
LORI JENSEN CRETELLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030996. 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 6 Divine Street, North Haven, CT 06473. The current status is active.
| Licensee Name | LORI JENSEN CRETELLA |
| Credential ID | 281698 |
| Credential Number | CSP.0030996 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6 Divine Street North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-06-07 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 557130 | 1.039546 | Physician/Surgeon | 2001-05-24 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 6 Divine Street |
| City | North HAVEN |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | North HAVEN |
| Zip Code | 06473 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + North HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alfred J Cretella | Po Box 616, Brookfield, CT 06804-0616 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle A Cretella Md | 20 Andersen Ct, Westerly, RI 02891-3712 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Rachel A Jensen | 177 Glenwood Rd, Clinton, CT 06413-1424 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gerold Jensen Md | 780 Farmington Ave, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1995-11-08 ~ 1997-02-28 |
| Peter R. Jensen Md | 184 Canoe Hill Rd, New Canaan, CT 06840-3706 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alison Jensen | 39 Alexander Rd Unit 6, Salem, CT 06420-3500 | Controlled Substance Registration for Practitioner | 2019-07-29 ~ 2021-02-28 |
| Charles W Jensen IIi | Dearfield Med Bldg, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 1994-11-07 ~ 1996-12-01 |
| Tomonori Nakagama | 1138 Jensen Ave, Mamaroneck, NY 10543-3839 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles W Jensen Jr | Dearfield Med Bldg, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 1993-11-03 ~ 1995-12-01 |
| Abigail L Jensen | 9 Lexington Dr, East Granby, CT 06026-9548 | 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).