JASON D MILBERT (Credential# 1294284) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
JASON D MILBERT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003343. The credential type is physician assistant. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 71 Starkweather St Fl 1, Manchester, CT 06042-3213. The current status is inactive.
| Licensee Name | JASON D MILBERT |
| Credential ID | 1294284 |
| Credential Number | 23.003343 |
| Credential Type | Physician Assistant |
| Business Address |
71 Starkweather St Fl 1 Manchester CT 06042-3213 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-06-19 |
| Effective Date | 2018-05-01 |
| Expiration Date | 2019-04-30 |
| Refresh Date | 2019-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1315845 | CSP.0061601 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-10-09 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 71 STARKWEATHER ST FL 1 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-3213 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Molly Maria Mcintyre | 11 Starkweather St, Manchester, CT 06042-3213 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-16 ~ 2021-11-30 |
| Gary R Dancosse | 17 Starkweather St, Manchester, CT 06042-3213 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Gino Aldo Pacitto | 11 Starkweather St, Manchester, CT 06042-3213 | Respiratory Care Practitioner | 2019-09-01 ~ 2020-08-31 |
| Hailey B Greenhalgh | 71 Starkweather St, Manchester, CT 06042-3213 | Youth Camp Director | 2019-04-25 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason M Lorch | 22 Woodhill Rd, Trumbull, CT 06611-3356 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jason M Vogt Pa | 94 Pisgah Rd, Oxford, CT 06478 | Physician Assistant | 2014-08-01 ~ 2015-07-31 |
| Jason S Pinho | 52 Wolf Pit Rd, Farmington, CT 06032-2438 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jason R Fedak Pa | 21 Heritage Dr, New Milford, CT 06776 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jason P Kotula Pa | 286 Stonewell Dr, Saint Johns, FL 32259-8388 | Physician Assistant | 2018-08-01 ~ 2019-07-31 |
| Jason David Williams | 145 Pomfret St, Putnam, CT 06260-1803 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jason N Dacruz Pa | 31 Seymour Street, Hartford, CT 06106 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jason M Loftus | 760 Barry St, Feeding Hills, MA 01030-1010 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jason H Allard | 11 Leonard Bridge Road, Lebanon, CT 06249-1536 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jason Michael Nies | 815 State Street, New Haven, CT 06510-3346 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
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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).