ASHLEY M BOGUE (Credential# 1296233) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ASHLEY M BOGUE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003387. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 3606 River Rd, Middletown, CT 06457-5709. The current status is active.
| Licensee Name | ASHLEY M BOGUE |
| Credential ID | 1296233 |
| Credential Number | 23.003387 |
| Credential Type | Physician Assistant |
| Business Address |
3606 River Rd Middletown CT 06457-5709 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-07-22 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1301846 | CSP.0061122 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-07-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 3606 RIVER RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-5709 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley C Roy | 30 Edgewater Ln, Marion, MA 02738-1204 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
| Ashley Franko | 311 Unity Rd, Trumbull, CT 06611-4934 | Physician Assistant | ~ |
| Ashley S Sloan | 84 Meadow Rd W, Trumbull, CT 06611-2000 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Ashley Nicole Hiep | 3 Sgt. Demeola Rd., Blauvelt, NY 10913 | Physician Assistant | ~ |
| Ashley R Cote | 77 Old Alfred Rd, Arundel, ME 04046-8736 | Physician Assistant | 2015-03-06 ~ 2015-09-30 |
| Ashley E Bell | 148 Strozier Ln, Barling, AR 72923-2319 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Alicia C Szostak | 40 Ashley Ln, Colchester, CT 06415-1642 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Ashley J Allatin | 283 Newton St, Berlin, CT 06037-1228 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Ashley L Falis | 2 Higby Drive, Meriden, CT 06450 | Physician Assistant | 2005-09-20 ~ 2006-08-31 |
| Ashley Fallon Snider | 665 Commerce Dr, Fairfield, CT 06825 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on ASHLEY M BOGUE.
| 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).