JAYME M CLARK (Credential# 1038336) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JAYME M CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002685. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 320 Shepard Ave, Hamden, CT 06514-1629. The current status is active.
| Licensee Name | JAYME M CLARK |
| Credential ID | 1038336 |
| Credential Number | 23.002685 |
| Credential Type | Physician Assistant |
| Business Address |
320 Shepard Ave Hamden CT 06514-1629 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-11-21 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1043368 | CSP.0051767 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-12-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 320 SHEPARD AVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514-1629 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph L Schindler Md | 284 Shepard Ave, Hamden, CT 06514-1629 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cgbg Foundation Inc | 284 Shepard Ave, Hamden, CT 06514-1629 | Public Charity-exempt From Financial Requirements | 2017-09-14 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kara M Clark | 124 Wynwood Dr, New Milford, CT 06776-4231 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| William Avery Pa | 120 Clark St, Milford, CT 06460 | Physician Assistant | 2007-07-19 ~ 2008-08-31 |
| Katelyn M Morico | 318 Clark Ave, Branford, CT 06405-4704 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Clark Adams Pa | 174 Jewett Drive, Bennington, VT 05201 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jennifer Clark-connor | 28 Bramblebrae, South Windsor, CT 06074-2135 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Janis E Morin | 204 Clark Hill Rd, East Haddam, CT 06423-1510 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jayme Marie Omara | [email protected], Newington, CT 06111 | Hairdresser/cosmetician | ~ |
| Jayme Lee Alkas | 216 Ellwood Road, Kensington, CT 06037 | Public Charity-exempt From Financial Requirements | ~ |
| Jayme Lauren Puff | 20 York St, New Haven, CT 06510 | Resident Physician | 2016-07-07 ~ 2020-06-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
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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).