JACKIE P-D GARRETT
Physician/surgeon


Address: 98 Shaker Road, East Longmeadow, MA 01028

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 98 Shaker Road
City East Longmeadow
State MA
Zip Code 01028

Licenses in the same zip code

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 ~
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Competitor

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City East Longmeadow
Zip Code 01028
License Type Physician/Surgeon
License Type + County Physician/Surgeon + East Longmeadow

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Dataset Information

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).

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