HEATHER A JOLICOEUR (Credential# 1301464) is licensed (Physician Assistant) 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.
HEATHER A JOLICOEUR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003396. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 105 Holley Rd, Bristol, CT 06010-5261. The current status is active.
Licensee Name | HEATHER A JOLICOEUR |
Credential ID | 1301464 |
Credential Number | 23.003396 |
Credential Type | Physician Assistant |
Business Address |
105 Holley Rd Bristol CT 06010-5261 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-07-30 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1321006 | CSP.0061769 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-11-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 105 HOLLEY RD |
City | BRISTOL |
State | CT |
Zip Code | 06010-5261 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Priscilla Jean-nelson | 115 Holley Rd, Bristol, CT 06010-5261 | Master's Level Social Worker | 2020-02-01 ~ 2021-01-31 |
William G Hein | 45 Holley Road, Bristol, CT 06010-5261 | Notary Public Appointment | 2015-07-01 ~ 2020-06-30 |
Ashley J Green | 33 Holley Rd, Bristol, CT 06010-5261 | Pharmacy Technician | 2017-03-09 ~ 2018-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
Find all Licenses in zip 06010 |
City | BRISTOL |
Zip Code | 06010 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + BRISTOL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Heather Bryant | 851 Ne 1st Ave, Miami, FL 33132 | Physician Assistant | 2018-10-30 ~ 2019-04-30 |
Heather A Bowdre | 40 Prospect Ave, Norwalk, CT 06850-3737 | Physician Assistant | 2010-07-01 ~ 2011-06-30 |
Heather L Storms Pa | 33 Hospital Ave, Danbury, CT 06810 | Physician Assistant | 2004-03-23 ~ 2005-05-31 |
Heather A Hooper | 729 Quinnipiac Ave, New Haven, CT 06513 | Physician Assistant | 1996-01-29 ~ 1997-02-28 |
Crystal A Huynh | 14 Heather Ln, Wilton, CT 06897-4132 | Physician Assistant | 2013-05-22 ~ 2013-11-30 |
Heather A Shackett | 185 Pine St #617, Manchester, CT 06040 | Physician Assistant | 1994-03-14 ~ 1995-03-31 |
Heather M Rynkowski | 16 Hillwood Dr, Niantic, CT 06357-1823 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Heather M Tomchik | 12 Quail Run Dr, Danbury, CT 06811-5128 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Heather Nickerson | 308 Killingworth Rd, Higganum, CT 06441 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Heather M Peterson | 31 Delmor Ave, Wilbraham, MA 01095-1554 | Physician Assistant | 2013-10-04 ~ 2014-07-31 |
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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).