JULIE BROOKE FORSTER (Credential# 1522839) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JULIE BROOKE FORSTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004187. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 5 Russell Rd, Cromwell, CT 06416-2470. The current status is active.
| Licensee Name | JULIE BROOKE FORSTER |
| Credential ID | 1522839 |
| Credential Number | 23.004187 |
| Credential Type | Physician Assistant |
| Business Address |
5 Russell Rd Cromwell CT 06416-2470 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-08-09 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1529000 | CSP.0068970 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-08-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 5 RUSSELL RD |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-2470 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | CROMWELL |
| Zip Code | 06416 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + CROMWELL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel John Kaplan | 28 Forster St, Hartford, CT 06106-4214 | Physician Assistant | ~ |
| Brooke E Cheema | P.o. Box 211 Rt 27, West Southport, ME 04576 | Physician Assistant | 1996-03-29 ~ 1996-12-31 |
| Brooke Lemme | 1640 Plainfield Pike, Greene, RI 02827-1908 | Physician Assistant | ~ |
| Matthew Decaprio | 7334 Town Brooke, Middletown, CT 06457 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Julie-anne Forster | 112 Country Club Dr, Oxford, CT 06478 | Real Estate Salesperson | 2015-06-01 ~ 2016-05-31 |
| Julie A Pappalardo Pa | 6 Ralph Rd, Hopkinton, MA 01748-1575 | Physician Assistant | 2015-02-01 ~ 2016-01-31 |
| Julie M Frascatore | Nicu, New Haven, CT 06510 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Julie Van Saun | 1963 Commonwealth Ave Apt 2, Boston, MA 02135-5937 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Julie Pope | 375 Chestnut Tree, Southbury, CT 06488 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Julie A Adams | 6695 Buckingham Dr, Gladstone, OR 97027-1045 | Physician Assistant | 2017-09-01 ~ 2018-08-31 |
Please comment or provide details below to improve the information on JULIE BROOKE FORSTER.
| 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).