JENNIFER L DEARDEN (Credential# 559049) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
JENNIFER L DEARDEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041466. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 21 Grand Hill Drive, Dover, MA 02030. The current status is active.
| Licensee Name | JENNIFER L DEARDEN |
| Credential ID | 559049 |
| Credential Number | 1.041466 |
| Credential Type | Physician/Surgeon |
| Business Address |
21 Grand Hill Drive Dover MA 02030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-05-15 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 343740 | CSP.0033744 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 21 Grand Hill Drive |
| City | Dover |
| State | MA |
| Zip Code | 02030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott T Rottinghaus | Po Box 831, Dover, MA 02030 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael A Branton | 10 Willow Street, Dover, MA 02030 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Candace Mccann | 87 Haven Street, Dover, MA 02030 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| David A Russell | 12 Ledgewood Dr, Dover, MA 02030 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Raghavendra G Kulkarni | 22 Miller Road, Dover, MA 02030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ekene C Nnah | 24 Crest Dr, Dover, MA 02030 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Elizabeth G Shannon · Lamb | 150 Walpole St, Dover, MA 02030 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Carolyn M D'ambrosio | 18 Saddle Ridge Rd, Dover, MA 02030 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| James D Pratt Jr · A Bonfaiti & Co Inc | 14 Normandie Rd, Dover, MA 02030 | Professional Engineer | 1989-02-07 ~ 1990-01-31 |
| Lisa M Procter | Six Burnham Road, Dover, MA 02030 | Certified Public Accountant Certificate | ~ |
| Find all Licenses in zip 02030 | |||
| City | Dover |
| Zip Code | 02030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Dover |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer H. Kuo | 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 | Physician/surgeon | ~ |
| Jennifer L Yeh Md | 4 Smith Dr, Savannah, GA 31406-6441 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Jennifer L Bau | 1 Guthrie Sq, Sayre, PA 18840-1625 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Jennifer R Lee Md | 85 Viscount Dr#8c, Milford, CT 06460 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Jennifer Lax Md | 23 Old Stone Bridge Rd, Cos Cob, CT 06807-1511 | Physician/surgeon | 2003-05-16 ~ 2004-02-29 |
| Jennifer W Weidner Md | 84 Hillcrest Rd, Glastonbury, CT 06033 | Physician/surgeon | 2005-02-01 ~ 2006-02-28 |
| Jennifer L Zajac | 200 Retreat Ave, Hartford, CT 06106 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jennifer O. Letitia | 1 Tulip Ln, Westport, CT 06880-2734 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer S Thompson | 84 Midland Rd, Trumbull, CT 06611 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jennifer F Cross | 19 W Brookside Dr, Larchmont, NY 10538 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
Please comment or provide details below to improve the information on JENNIFER L DEARDEN.
| 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).