JENNIFER L GUSTAFSON DVM (Credential# 535576) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
JENNIFER L GUSTAFSON DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045658. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 17728 Alacran Court, Rancho Bernardo, CA 92127. The current status is inactive.
| Licensee Name | JENNIFER L GUSTAFSON DVM |
| Credential ID | 535576 |
| Credential Number | CSP.0045658 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
17728 Alacran Court Rancho Bernardo CA 92127 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-06-22 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 773110 | 47.003436 | Veterinarian | 2009-06-02 | 2013-05-01 - 2014-04-30 | INACTIVE |
| Street Address | 17728 Alacran Court |
| City | Rancho Bernardo |
| State | CA |
| Zip Code | 92127 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Companion Medical, Inc | 11011 Via Frontera Suite D, San Diego, CA 92127 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-03-02 ~ |
| Eric S Eddy | 16380 Pinto Ridge Ct, San Diego, CA 92127 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Ashish Patel | 15612 Bernardo Center Drive # 3409, San Diego, CT 92127 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Judith L Carroll | 14740 Via Fiesta, San Diego, CA 92127 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Jeremy D Ellis | 17099 N Bernardo Drive Apt # 206, San Diego, CA 92127 | Home Improvement Salesperson | 2014-05-12 ~ 2014-11-30 |
| Jan Eilleen Guingab | 10225 Sienna Hills Dr, San Diego, CA 92127 | Occupational Therapist Assistant | ~ |
| Rene A Vega | 15580 Corte Montanoso, San Diego, CA 92127 | Physician/surgeon | 2009-04-07 ~ 2010-04-30 |
| Leonardo J Gonzalez | 17814 Weaving Ln, San Diego, CA 92127 | Licensed Practical Nurse | 2008-03-10 ~ 2009-04-30 |
| Paula M Bruns | 10818 Poblado Road, San Diego, CA 92127 | Registered Nurse | 1993-05-25 ~ 1994-07-31 |
| Eleanor Trevethan | 11202 Trailside Ct, San Diego, CA 92127 | Registered Nurse | 1993-03-24 ~ 1994-05-31 |
| Find all Licenses in zip 92127 | |||
| City | Rancho Bernardo |
| Zip Code | 92127 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Rancho Bernardo |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lesley A Gustafson | 212 Lincoln Street, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Monica R. Gustafson | 8921 N Magenta Way, Tucson, AZ 85743-5117 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
| Jennifer Y You Dmd | 921 State St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer Y Pan | 129 York St Apt 2g, New Haven, CT 06511-5640 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer A Digiacomo | 27 Oak St Ste D, Stamford, CT 06905-5304 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jennifer K Leung Md | Stamford, CT 06902-6866 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer C Lee | 3 Gayridge Rd, Waterbury, CT 06705-3249 | Controlled Substance Registration for Practitioner | 2014-07-08 ~ 2015-02-28 |
| Jennifer L Koskinen | Po Box 44, Tumacacori, AZ 85640-0044 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer L Traxler | 137 E Elm St, Greenwich, CT 06830-6614 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jennifer F Kherani | 2 Hughes Ave, Rye, NY 10580-1317 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2018-07-18 |
Please comment or provide details below to improve the information on JENNIFER L GUSTAFSON DVM.
| 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).