JENNIFER A CORRIE
Physician/surgeon


Address: 14a Secor Rd., Brookfield, CT 06804

JENNIFER A CORRIE (Credential# 553573) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.

Business Overview

JENNIFER A CORRIE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035981. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 14a Secor Rd., Brookfield, CT 06804. The current status is active.

Basic Information

Licensee Name JENNIFER A CORRIE
Credential ID 553573
Credential Number 1.035981
Credential Type Physician/Surgeon
Business Address 14a Secor Rd.
Brookfield
CT 06804
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1997-05-02
Effective Date 2019-08-01
Expiration Date 2020-07-31
Refresh Date 2019-08-02

Other licenses

ID Credential Code Credential Type Issue Term Status
180143 CSP.0025537 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-03-01 - 2007-02-28 INACTIVE

Office Location

Street Address 14A Secor Rd.
City Brookfield
State CT
Zip Code 06804

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Competitor

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City Brookfield
Zip Code 06804
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Brookfield

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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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