GINNY M GREENE (Credential# 1261852) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 6, 2015. The license expiration date date is August 31, 2016. The license status is INACTIVE.
GINNY M GREENE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003402. The credential type is physician assistant. The effective date is August 6, 2015. The expiration date is August 31, 2016. The business address is 2690 Widdy Boswick Lane, Jamestown, NY 14701. The current status is inactive.
| Licensee Name | GINNY M GREENE |
| Credential ID | 1261852 |
| Credential Number | 23.003402 |
| Credential Type | Physician Assistant |
| Business Address |
2690 Widdy Boswick Lane Jamestown NY 14701 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-08-06 |
| Effective Date | 2015-08-06 |
| Expiration Date | 2016-08-31 |
| Refresh Date | 2016-12-04 |
| Street Address | 2690 WIDDY BOSWICK LANE |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen E Lundberg | 980 Forest Ave Ext, Jamestown, NY 14701 | Registered Nurse | 2013-01-01 ~ 2013-12-31 |
| Mabel T Crosby | 253 Towner Ave, Jamestown, NY 14701 | Physician/surgeon | 1995-12-11 ~ 1996-09-30 |
| Tina M Lewis | 22 Price Street, Jamestown, NY 14701 | Lead Inspector | ~ 2000-03-31 |
| Richard A Calla | 26 Walnut Street, Jamestown, NY 14701 | Lead Inspector | ~ 2000-08-31 |
| Todd A Peterson | 36 Regent Street, Jamestown, NY 14701 | Lead Inspector | ~ 1999-07-31 |
| Paul A Mattson | 132 Fredrick Blvd, Jamestown, NY 14701 | Lead Abatement Supervisor | ~ 1999-12-31 |
| Jay H Smith | 3 Columbia Avenue, Jamestown, NY 14701 | Lead Abatement Supervisor | 2001-09-20 ~ 2002-11-30 |
| Gerald L Morrison | 302 Colfax Street, Jamestown, NY 14701 | Lead Abatement Supervisor | ~ 1999-08-31 |
| Stephen R Latone | 327 Steele Street, Jamestown, NY 14701 | Lead Abatement Supervisor | 2000-05-02 ~ 2001-01-31 |
| Levon E Cunningham | 821 Cherry Street, Jamestown, NY 14701 | Lead Abatement Worker | ~ 1999-01-31 |
| Find all Licenses in zip 14701 | |||
| City | JAMESTOWN |
| Zip Code | 14701 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + JAMESTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura Robinson | 424 Mather Greene Av, Charlotte, NY 28203 | Physician Assistant | 1996-06-11 ~ 1997-08-31 |
| Brooke Lemme | 1640 Plainfield Pike, Greene, RI 02827-1908 | Physician Assistant | ~ |
| Friends of Ginny & Diane | 95 Skyline Drive, South Windsor, CT 06074 | Public Charity-exempt From Financial Requirements | ~ |
| Ginny Bread Baker LLC (the) | 248 Oxford Rd Unit Bk, Oxford, CT 06478-1961 | Bakery | 2017-07-03 ~ 2018-06-30 |
| Angelia S Greene | 17 Cobble Rd, Salisbury, CT 06068-1501 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| Carol Ann Greene | 4 Strawberry Ln, Old Lyme, CT 06371-2627 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Marcia Greene | 23 Robertson St, Bristol, CT 06010 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
| Sherri L Greene | 6 Summer Street, Apt #2, Westerly, RI 02891 | Physical Therapist Assistant | 2007-01-02 ~ 2008-02-29 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Greene Facility Services, LLC · Greene Moving & Storage | 185 Adams Street, Manchester, CT 06042 | Household Goods Carrier | 2020-01-01 ~ 2020-12-31 |
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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).