JOHN R JENUSAITIS
Physician/surgeon


Address: 580 Watertown Rd, Middlebury, CT 06762

JOHN R JENUSAITIS (Credential# 538595) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2011. The license expiration date date is September 30, 2012. The license status is INACTIVE.

Business Overview

JOHN R JENUSAITIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006031. The credential type is physician/surgeon. The effective date is October 1, 2011. The expiration date is September 30, 2012. The business address is 580 Watertown Rd, Middlebury, CT 06762. The current status is inactive.

Basic Information

Licensee Name JOHN R JENUSAITIS
Credential ID 538595
Credential Number 1.006031
Credential Type Physician/Surgeon
Business Address 580 Watertown Rd
Middlebury
CT 06762
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1948-10-08
Effective Date 2011-10-01
Expiration Date 2012-09-30
Refresh Date 2013-01-07

Other licenses

ID Credential Code Credential Type Issue Term Status
143556 CSP.0007898 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 580 WATERTOWN RD
City MIDDLEBURY
State CT
Zip Code 06762

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Laurie V Massetti 60 Yale Avenue, Middlebury, CT 06762 Registered Nurse 2020-07-01 ~ 2021-06-30
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Margaret E Mowrey 57 Marney Drive, Middlebury, CT 06762 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Giuseppe Tripodi 687 Straits Tpk, Middlebury, CT 06762 Physician/surgeon 2020-08-01 ~ 2021-07-31
Elise L Callahan 77 Christian Rd, Middlebury, CT 06762 Registered Nurse 2020-08-01 ~ 2021-07-31
Michelle King 91 Kissewaug Rd, Middlebury, CT 06762 Registered Nurse 2020-07-01 ~ 2021-06-30
Michael F Simms IIi 80 Burr Hall Road, Middlebury, CT 06762 Physician/surgeon 2020-07-01 ~ 2021-06-30
Kelly M Barbaris 62 Yale Avenue, Middlebury, CT 06762 Physical Therapist 2020-07-01 ~ 2021-06-30
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Competitor

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City MIDDLEBURY
Zip Code 06762
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MIDDLEBURY

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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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