JILLIAN LECLAIR MD (Credential# 537805) 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.
JILLIAN LECLAIR MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045951. 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 Mc 2941, Farmington, CT 06030-0001. The current status is inactive.
| Licensee Name | JILLIAN LECLAIR MD |
| Credential ID | 537805 |
| Credential Number | CSP.0045951 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Mc 2941 Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-09-14 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| Street Address | Mc 2941 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian K Ross | 926 Greenway Rd, Woodbridge, CT 06525-2413 | Controlled Substance Registration for Practitioner | 2020-04-24 ~ 2021-02-28 |
| Jillian K Joseph | 112 Uncatena Ave, Worcester, MA 01606-1814 | Controlled Substance Registration for Practitioner | 2013-03-25 ~ 2015-02-28 |
| Jillian R Hevey Pa | 100 Trilby Ave, Chicopee, MA 01020-1037 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jillian M Kalinchak | 159 David Rd, Durham, CT 06422-2601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian M Difazio | 225 E 95th St Apt 22b, New York, NY 10128-4007 | Controlled Substance Registration for Practitioner | 2014-12-12 ~ 2017-02-28 |
| Jillian M Grant | 15 Corporate Dr, Trumbull, CT 06611-1351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian N Gormley | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jillian L Marousek Md | 36 Lake Dr, Darien, CT 06820-3121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian M Diviesta | 2200 Whitney Ave Ste 360, Hamden, CT 06518-3694 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jillian Dumeer | 203 Sterling Drive, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).