JACLYN S SMITH DVM (Credential# 946204) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 15, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
JACLYN S SMITH DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048392. The credential type is controlled substance registration for practitioner. The effective date is April 15, 2013. The expiration date is February 28, 2015. The business address is 158 Seaside Ave Unit B, Stamford, CT 06902-5333. The current status is inactive.
| Licensee Name | JACLYN S SMITH DVM |
| Credential ID | 946204 |
| Credential Number | CSP.0048392 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
158 Seaside Ave Unit B Stamford CT 06902-5333 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-08-09 |
| Effective Date | 2013-04-15 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 932324 | 47.003532 | Veterinarian | 2010-07-01 | 2012-08-01 - 2013-07-31 | INACTIVE |
| Street Address | 158 SEASIDE AVE UNIT B |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-5333 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jaclyn K Birn | 121 Richards Dr, Monroe, CT 06468-2321 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaclyn R Jones | 185 Hildred Dr, Burlington, VT 05401-3666 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jaclyn M Jermine | 2 Mills Ave, Milford, CT 06460-7678 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaclyn C Flanigan | 275 Marvelwood Dr, New Haven, CT 06515-2429 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jaclyn L Gladstein | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaclyn A Fallon | 1150 Route 9w S, Nyack, NY 10960-4826 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jaclyn M Sylvia | 60 Westwood Avenue, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaclyn S Porco | 262 Hoyt Farm Rd., New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaclyn M Brancato Pa | 1924 Main St., Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaclyn Steinke | 104 Holly Mar Hill Rd, Northford, CT 06472-1119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).