JACQUELYN KUBIS (Credential# 390984) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 12, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JACQUELYN KUBIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036832. The credential type is controlled substance registration for practitioner. The effective date is April 12, 2019. The expiration date is February 28, 2021. The business address is 470 Oakwood Ave, West Hartford, CT 06110-1320. The current status is active.
| Licensee Name | JACQUELYN KUBIS |
| Credential ID | 390984 |
| Credential Number | CSP.0036832 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
470 Oakwood Ave West Hartford CT 06110-1320 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-12-01 |
| Effective Date | 2019-04-12 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 772684 | 47.003010 | Veterinarian | 2004-02-20 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 470 OAKWOOD AVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06110-1320 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hubert L Hopkinson | 470 Oakwood Ave, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tineeka Compton | 470 Oakwood Ave, West Hartford, CT 06110-1320 | Controlled Substance Registration for Practitioner | 2019-04-11 ~ 2021-02-28 |
| Connecticut Veterinary Center Inc | 470 Oakwood Ave, West Hartford, CT 06110-1320 | Grooming Facility | 2019-01-01 ~ 2020-12-31 |
| Rachel Cumberbatch | 470 Oakwood Ave, West Hartford, CT 06110-1320 | Veterinarian | 2013-06-01 ~ 2014-05-31 |
| Jennifer M Mateleska Dvm | 470 Oakwood Ave, West Hartford, CT 06110 | Veterinarian | 2006-02-13 ~ 2007-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hubert L Hopkinson | 470 Oak Wood Ave, West Hartford, CT 06110-1320 | Controlled Substance Registration for Practitioner | 1995-07-27 ~ 1996-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diem Thuy Nguyen | 25 Brian Road, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Dominick E Deslauriers | 67 Red Top Drive, West Hartford, CT 06110 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Markos Raptis Dds | 61 Park Place Circle, West Hartford, CT 06110 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Keith A Dumond | 83 Mayflower Street, West Hartford, CT 06110 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Yayan Tong | 6 Steven St, West Hartford, CT 06110 | Nail Technician | ~ |
| Apsara Thapa | 15 Lewis Lane, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Aneudi J Rodriguez Perez | 24 Elmhurt Circle, West Hartford, CT 06110 | Real Estate Salesperson | ~ |
| Frances B Gurtman Md | 445 S Main Street, West Hartford, CT 06110 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Diana M Rodriguez | 445 South Main St, West Hartford, CT 06110 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jong Lee | 6 Timothy, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06110 | |||
| City | WEST HARTFORD |
| Zip Code | 06110 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacquelyn E Moss | 196 Foster St, New Haven, CT 06511-2543 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jacquelyn L Wilson Aprn | 58 King Ave, Folcroft, PA 19032-1022 | Controlled Substance Registration for Practitioner | 2009-02-10 ~ 2011-02-28 |
| Jacquelyn M Brewer | 32 Strawberry Hill Ct, Stamford, CT 06902-2594 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacquelyn D Choate | 20 Greenwood Dr, East Greenbush, NY 12061-2022 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-01-23 |
| Jacquelyn P Kilman Aprn | 131 Rock Rd, Burlington, CT 06013-1615 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JACQUELYN KUBIS.
| 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).