JACLYN M THOMPSON (Credential# 1154232) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JACLYN M THOMPSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002923. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2 Quail Hollow Ct, Beacon Falls, CT 06403-1283. The current status is active.
| Licensee Name | JACLYN M THOMPSON |
| Credential ID | 1154232 |
| Credential Number | 23.002923 |
| Credential Type | Physician Assistant |
| Business Address |
2 Quail Hollow Ct Beacon Falls CT 06403-1283 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-06-04 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 910511 | 10.092770 | Registered Nurse | 2010-03-01 | 2020-04-01 - 2021-03-31 | ACTIVE |
| 1170092 | CSP.0054933 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 911590 | 10.092293-TEMP | Registered Nurse - Temporary | 2010-01-21 | 2010-01-21 - 2010-05-21 | INACTIVE |
| Street Address | 2 QUAIL HOLLOW CT |
| City | BEACON FALLS |
| State | CT |
| Zip Code | 06403-1283 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David A Langdon | 4 Quail Hollow Ct, Beacon Falls, CT 06403-1283 | Limited Sheet Metal Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bronislawa A Zieba | 118 Rice Ln Ext, Beacon Falls, CT 06403 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jtp Construction LLC | 53 Lancaster Dr, Beacon Falls, CT 06403 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Brett J Tanner | 699 Skokorat Road, Beacon Falls, CT 06403 | Plumbing & Piping Unlimited Journeyperson | 2020-06-21 ~ 2020-10-31 |
| Diane L Santos | 19 Molleur View Drive, Beacon Falls, CT 06403 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Madeline R Godlewski | 194 Lasky Rd, Beacon Falls, CT 06403 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| It's A Grind LLC | 20 North Main Street, Beacon Falls, CT 06403 | Bakery | 2020-06-24 ~ 2021-06-30 |
| Daniel R Sullivan | 75 Avenue C, Beacon Falls, CT 06403 | Distribution System Operator In Training | 2020-04-01 ~ 2023-03-31 |
| Joy F Johnson-brown | 14 Gruber Rd, Beacon Falls, CT 06403 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Victoria B Breare | 39 Brockton Ct, Beacon Falls, CT 06403 | Emergency Medical Technician | 2017-10-06 ~ 2020-06-30 |
| Barbara Dlugos · Foley | 765 Burton Rd, Beacon Falls, CT 06403 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06403 | |||
| City | BEACON FALLS |
| Zip Code | 06403 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BEACON FALLS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jaclyn D Colfer | 22 Crystal Brook Rd, Wolcott, CT 06716-1343 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jaclyn Rose Neveu | 393 Divinity St, Bristol, CT 06010-6019 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jaclyn Milano | 23 Tyler St, West Haven, CT 06516-6823 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jaclyn Josephine Trotta | 171 Thornycroft Ave, Staten Island, NY 10312-6228 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Christopher S Thompson | 11 Duchess Dr, Old Lyme, CT 06371-1357 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Kathryn N. Thompson | 4 Corporate Drive, Shelton, CT 06484 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Renee Loren Thompson | 28 Loomis Drive, West Hartford, CT 06107 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Clarence N Thompson | 4452 Maplewood Meadows Ave., Grand Blanc, MI 48439 | Physician Assistant | 2003-08-11 ~ 2004-08-31 |
| Melanie K Hachigian | 453 Thompson Rd., Thompson, CT 06277 | Physical Therapist Assistant | 2005-10-24 ~ 2006-11-01 |
| Jaclyn M Maier | 187 Williams Rd, Wallingford, CT 06492-2732 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on JACLYN M THOMPSON.
| 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).