JACLYN M BRANCATO PA
Controlled Substance Registration for Practitioner


Address: 1924 Main St., Glastonbury, CT 06033

JACLYN M BRANCATO PA (Credential# 477005) 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.

Business Overview

JACLYN M BRANCATO PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041919. 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 1924 Main St., Glastonbury, CT 06033. The current status is active.

Basic Information

Licensee Name JACLYN M BRANCATO PA
Credential ID 477005
Credential Number CSP.0041919
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1924 Main St.
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-10-30
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
743748 23.001999 Physician Assistant 2007-10-12 2020-01-01 - 2020-12-31 ACTIVE
844276 70.004543 Emergency Medical Technician 2004-02-13 2004-02-13 - 2005-09-30 INACTIVE

Office Location

Street Address 1924 Main St.
City Glastonbury
State CT
Zip Code 06033

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Wendy B Johnson 1789 Main St, Glastonbury, CT 06033 Architect 2020-08-01 ~ 2021-07-31
Michael D Devanney Pa 28 Evergreen Ln, Glastonbury, CT 06033 Physician Assistant 2020-09-01 ~ 2021-08-31
Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Jennifer R Briones 90 Deerfield Drive, Glastonbury, CT 06033 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City Glastonbury
Zip Code 06033
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Glastonbury

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Dataset Information

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).

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