JENA ELIZABETH JARVIS (Credential# 1629547) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.
JENA ELIZABETH JARVIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001980. The credential type is physical therapist assistant. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is 15616 Drake St, Southgate, MI 48195-3250. The current status is active.
| Licensee Name | JENA ELIZABETH JARVIS |
| Credential ID | 1629547 |
| Credential Number | 63.001980 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
15616 Drake St Southgate MI 48195-3250 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-02-11 |
| Effective Date | 2019-04-01 |
| Expiration Date | 2020-03-31 |
| Refresh Date | 2019-05-01 |
| Street Address | 15616 DRAKE ST |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-3250 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn M Ross | 13410 Parkside Dr, Southgate, MI 48195 | Registered Nurse | 2008-03-24 ~ 2009-01-31 |
| Debra R Hagerman | 11310 Burlington Dr, Southgate, MI 48195 | Registered Nurse | 2000-08-11 ~ 2001-04-30 |
| Thomas J Labowitch | 15179 Devoe, Southgate, MI 48195 | Electrical Unlimited Journeyperson | ~ |
| William R Lahousse | 15700 Kennebee, Southgate, MI 48195 | Electrical Unlimited Journeyperson | ~ |
| Joseph J Gratowski Jr | 13068 Walnut St, Southgate, MI 48195-1164 | Public Service Technician - Telephone | 2011-01-10 ~ 2011-09-30 |
| Aldo F Colandrea | 13710 Reeck Rd, Southgate, MI 48195-3006 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Richard D Brantley | 13550 Courtside Way Apt 101, Southgate, MI 48195-3403 | Public Service Technician - Telephone | 2010-08-13 ~ 2011-09-30 |
| Andrea R Agasse | 13701 Greenfield Way Apt 206, Southgate, MI 48195-3418 | Registered Nurse - Temporary | 2010-07-20 ~ 2010-11-17 |
| Jakobbe A Williams | 16535 Grace Ct, Southgate, MI 48195-3617 | Public Service Technician - Telephone | 2011-01-10 ~ 2011-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alicia Raquel Caballero | 215 Snow Shoe Dr, Southgate, KY 41071-2851 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Gogomeds | 525 Alexandria Pike Ste 100, Southgate, KY 41071-3243 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Maureen E Kavalauskas | 58 Woodland Hills Dr Ste 2, Southgate, KY 41071-2965 | Registered Nurse | 2000-06-27 ~ 2010-06-30 |
| City | SOUTHGATE |
| Zip Code | 48195 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + SOUTHGATE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathi E Jarvis Loto · Jarvis | 85 Highland Dr, Amston, CT 06231-1759 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Elizabeth A Lamberson | Rt. 1, Lafoillette, TN 37766 | Physical Therapist Assistant | ~ 2006-11-01 |
| Sarah Elizabeth Gleeson | 35 Cos Cob Ave Rear Apt, Cos Cob, CT 06807-2182 | Physical Therapist Assistant | ~ |
| Nina E Kisluk | 174 Elizabeth Dr, Cheshire, CT 06410-7122 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Elizabeth A Eaton | 19 Thomas St., Chatham, NY 12037 | Physical Therapist Assistant | 2007-06-29 ~ 2008-06-30 |
| Elizabeth Angelicola | 85 Pritchard Rd, Waterbury, CT 06705-1637 | Physical Therapist Assistant | 2020-05-27 ~ 2021-01-31 |
| Elizabeth P Calvanese | 455 Berlin St, Southington, CT 06489-3807 | Physical Therapist Assistant | 2019-09-01 ~ 2020-08-31 |
| Elizabeth A Pelletier | 26 Lakeview Ct, Middlebury, CT 06762-3324 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Mainville | 42 Nauset Ave, Danielson, CT 06239 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Elizabeth Wilson | 30 Burlingame St., Chicopee, MA 01013 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
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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).