JACKIE P-D GARRETT (Credential# 1168039) is licensed (Physician/surgeon) 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.
JACKIE P-D GARRETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052167. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 98 Shaker Road, East Longmeadow, MA 01028. The current status is active.
Licensee Name | JACKIE P-D GARRETT |
Credential ID | 1168039 |
Credential Number | 1.052167 |
Credential Type | Physician/Surgeon |
Business Address |
98 Shaker Road East Longmeadow MA 01028 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-06-21 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1179075 | CSP.0055875 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-08-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 98 Shaker Road |
City | East Longmeadow |
State | MA |
Zip Code | 01028 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kathleen Stezko | 29 Autumn Ridge, East Longmeadow, MA 01028 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Sergy Chebotarev | 38 Lenox Circle, East Longmeadow, MA 01028 | Tax Preparer/facilitator Permit | 2020-06-18 ~ 2022-06-30 |
Breanna Lynn Cloonan | 11 Acorn Street, East Longmeadow, MA 01028 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
Maureen Teresa Blanchard | 70 Somers Rd, East Longmeadow, MA 01028 | Esthetician | ~ |
Erica J Mcnamara | 30 Villanova Street, East Longmeadow, MA 01028 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
Jerry E Gray | C/o Abide Inc., East Longmeadow, MA 01028 | Lead Abatement Supervisor | 2020-09-01 ~ 2021-08-31 |
Devin T Mccorison | C/o Abide, Inc., East Longmeadow, MA 01028 | Asbestos Abatement Supervisor | 2020-09-01 ~ 2021-08-31 |
Susan B Chunyk | Hampden Hearing Ctr, East Longmeadow, MA 01028 | Audiologist | 2020-08-01 ~ 2021-07-31 |
Mario Tascon | 202 Canterbury Circle, East Longmeadow, MA 01028 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
Jeong Ja Lee | 25 Robin St, East Longmeadow, MA 01028 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 01028 |
City | East Longmeadow |
Zip Code | 01028 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + East Longmeadow |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jackie P Milo | 2 The Gates Circle, Murray, KY 42071 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
Leila J Garrett Md | 1 Perryridge Rd, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Garrett R Martin Dr | 404 State St, Bangor, ME 04401 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
Nan Garrett | 1415 N Loop W, #240, Houston, TX 77008 | Physician/surgeon | 2019-12-02 ~ 2020-12-31 |
Audrey P Garrett | 32 Francis Street, Winthrop, MA 02152 | Physician/surgeon | 2001-11-20 ~ 2002-11-30 |
Marjorie A Garrett | 945 Main Street, Ste 102, Manchester, CT 06040 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Garrett Robert Leonard | 2 Riverview Drive, Danbury, CT 06810 | Physician/surgeon | ~ |
Garrett B Gause | 1722 Mariner Way, Tarpon Springs, FL 34689-5853 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Garrett T Desman | 320 Needham St Ste 200, Newton Upper Falls, MA 02464-1593 | Physician/surgeon | 2014-10-24 ~ 2015-05-31 |
Rose T Garrett | 1671 N. Prim Rose Lane, Tahlequah, OK 74464 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
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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).