JESICA BAKER (Credential# 1525052) 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.
JESICA BAKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004227. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 539 Farmington Ave, Bristol, CT 06010-3931. The current status is active.
| Licensee Name | JESICA BAKER |
| Credential ID | 1525052 |
| Credential Number | 23.004227 |
| Credential Type | Physician Assistant |
| Business Address |
539 Farmington Ave Bristol CT 06010-3931 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-10 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1599063 | CSP.0069516 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-09-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 539 FARMINGTON AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-3931 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel P Tuohey | 539 Farmington Ave, Bristol, CT 06010 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Dorota M Urban | 539 Farmington Ave, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gala News | 533 Farmington Ave, Bristol, CT 06010-3931 | Lottery Sales Agent | 2020-01-06 ~ 2021-03-31 |
| Nicholas Abaatu · Nick's Package Store | 535 Farmington Ave, Bristol, CT 06010-3931 | Package Store Liquor | 2019-10-20 ~ 2020-10-19 |
| Daily Mart Inc | 551 Farmington Ave, Bristol, CT 06010-3931 | Retail Gasoline Dealer | 2018-11-01 ~ 2019-10-31 |
| Rent-a-center Inc #3606 | 529 Farmington Ave, Bristol, CT 06010-3931 | Sterilization Permit for Bedding & Upholstered Furniture | 2014-05-01 ~ 2015-04-30 |
| Walgreens #11825 | 525 Farmington Ave, Bristol, CT 06010-3931 | Retail Dairy Store | 2019-07-01 ~ 2021-06-30 |
| Daily Mart | 551 Farmington Ave, Bristol, CT 06010-3931 | Retail Dairy Store | 2017-12-15 ~ 2019-06-30 |
| 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 |
|---|---|---|---|
| Kristen A Baker | 4 Allison Dr, Madison, CT 06443-2174 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Charles Robert Barnes | 112 Baker St, Johnson City, NY 13790-1904 | Physician Assistant | 2016-07-21 ~ 2017-07-31 |
| Stephen Baker | 182 Old Sylvan Lake Rd, Hopewell Junction, NY 12533-5407 | Physician Assistant | 2015-03-01 ~ 2016-02-29 |
| 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 |
| Jesica M Alarcon | 22 Hillcrest Ave, Stamford, CT 06902-2817 | Pharmacy Technician | 2015-03-09 ~ 2016-03-31 |
| Jennifer A Wade | 107 Baker Ave, Groton, CT 06340-3920 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Jesica Mesa | 14 Maltby Ave, West Haven, CT 06516-1101 | Hairdresser/cosmetician | 2019-04-01 ~ 2021-03-31 |
| Jesica K Vines | 28 Strawberry Hill Ave., Norwalk, CT 06855 | Registered Nurse | 2009-10-01 ~ 2010-09-30 |
| David E Baker Sr · Baker's Carpentry | 98 Monson Road, Stafford Springs, CT 06076 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Peter M Baker IIi · Baker's Renovation | 36 Winthrop Terrace, Meriden, CT 06451 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
Please comment or provide details below to improve the information on JESICA BAKER.
| 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).