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.
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.
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 |
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 |
Street Address | 1924 Main St. |
City | Glastonbury |
State | CT |
Zip Code | 06033 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
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 |
Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 06033 |
City | Glastonbury |
Zip Code | 06033 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Glastonbury |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raphael Francis Brancato | 276 Oriental Pl Apt 3, Lyndhurst, NJ 07071-1700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Craig O Brancato | 75 Burr Street, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert Brancato · Dimensions Residentail Constructions | 1924 Main St, Glastonbury, CT 06033-2944 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jaclyn K Birn | 121 Richards Dr, Monroe, CT 06468-2321 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jaclyn M Jermine | 2 Mills Ave, Milford, CT 06460-7678 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jaclyn L Gladstein | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jaclyn C Flanigan | 275 Marvelwood Dr, New Haven, CT 06515-2429 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Jaclyn R Jones | 185 Hildred Dr, Burlington, VT 05401-3666 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Jaclyn S Smith Dvm | 158 Seaside Ave Unit B, Stamford, CT 06902-5333 | Controlled Substance Registration for Practitioner | 2013-04-15 ~ 2015-02-28 |
Jaclyn M Sylvia | 60 Westwood Avenue, Waterbury, CT 06708 | 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).