MARISSA JACKO (Credential# 1077355) 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.
MARISSA JACKO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002773. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 101 Hillcrest Ave, Stratford, CT 06614-3514. The current status is active.
| Licensee Name | MARISSA JACKO |
| Credential ID | 1077355 |
| Credential Number | 23.002773 |
| Credential Type | Physician Assistant |
| Business Address |
101 Hillcrest Ave Stratford CT 06614-3514 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-06-26 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1082491 | CSP.0053146 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-07-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 848400 | 70.008667 | Emergency Medical Technician | 2007-07-25 | 2007-07-25 - 2008-09-30 | INACTIVE |
| Street Address | 101 HILLCREST AVE |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-3514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eleanor M Hunt | 101 Hillcrest Ave, Stratford, CT 06614 | Registered Nurse | 2012-12-01 ~ 2013-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06614 | |||
| City | STRATFORD |
| Zip Code | 06614 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marissa F Forte | 10 Topaz Ct, New City, NY 10956-7030 | Physician Assistant | 2017-12-01 ~ 2018-11-30 |
| Marissa B Migdol Pa | 83 Newfield Ave Apt 27, Waterbury, CT 06708 | Physician Assistant | 2004-06-16 ~ 2005-03-31 |
| Marissa J Fistola Pa-c | 40 Edgewood St, Stafford Springs, CT 06076 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Carlye Marissa Bianco | 10 Wells Ave, Stamford, CT 06902-7619 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Marissa C Carignan | 41 Niantic River Rd, Waterford, CT 06385-2529 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Marissa Ann Sylvester | 702 Pleasant Valley Road North, Groton, CT 06340 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Marissa A Roy | 741 Mountain Rd, Suffield, CT 06078-2011 | Physical Therapist Assistant | 2019-09-01 ~ 2020-08-31 |
| Jacko's Oak Aged Raspberry Belgian Style Trippel | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-06-06 ~ 2020-06-05 |
| Marissa Morales | 16 Murray Ave Apt 4, Westfield, MA 01085-1583 | Physical Therapist Assistant | 2017-01-01 ~ 2017-12-31 |
| Danielle Marissa Delucco | 600 Cypress Rd, Newington, CT 06111-5610 | Family Child Care Assistant | 2018-04-23 ~ 2020-04-30 |
Please comment or provide details below to improve the information on MARISSA JACKO.
| 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).