JILL M SULLIVAN (Credential# 1131183) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JILL M SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002921. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 142 Bellridge Rd, Glastonbury, CT 06033-1462. The current status is active.
| Licensee Name | JILL M SULLIVAN |
| Credential ID | 1131183 |
| Credential Number | 23.002921 |
| Credential Type | Physician Assistant |
| Business Address |
142 Bellridge Rd Glastonbury CT 06033-1462 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-06-03 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1194852 | CSP.0056416 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-11-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jill M Sullivan | 702 Eastbroadway, Milford, CT 06460 | Registered Nurse | 2004-06-14 ~ 2005-06-30 |
| Street Address | 142 BELLRIDGE RD |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-1462 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yianni Pasparakis | 142 Bellridge Rd, Glastonbury, CT 06033-1462 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George A Bishop IIi | 116 Bellridge Rd, Glastonbury, CT 06033-1462 | Professional Engineer | 2009-02-01 ~ 2013-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jill M Geoffrion | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician Assistant | 2020-05-18 ~ 2020-12-31 |
| Jill W Gulliford | 763 N Greenbrier Dr, Orange, CT 06477-2712 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jill Aboulian Pa | 21 Lyle Dr, Madison, CT 06443-1897 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jill M Finnegan | 79 Dunn Avenue, Stamford, CT 06905 | Physician Assistant | 1994-03-04 ~ 1995-02-28 |
| Jill K Martinez | 250 Nimham Road, Carmel, NY 10512 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jill L Garland Pa | 98 Althea Rd, North Falmouth, MA 02556-3115 | Physician Assistant | 2017-06-01 ~ 2018-05-31 |
| Jill L Schreiber | 221 East 23rd Street, New York, NY 10010 | Physician Assistant | 2001-07-23 ~ 2002-04-30 |
| Jill A Duggan | 3239 Poplar St, Yorktown Heights, NY 10598-2621 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Jill Lageman | 1933 Sheyenne St Unit D, West Fargo, ND 58078-2684 | Physician Assistant | 2016-09-01 ~ 2017-08-31 |
| Michael K Sullivan | 17 Sayles Ave, Lincoln, RI 02865-2133 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).