MOLLY J MABLE (Credential# 1660873) 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.
MOLLY J MABLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004493. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 111 Founders Plz Ste 400, East Hartford, CT 06108-3240. The current status is active.
| Licensee Name | MOLLY J MABLE |
| Credential ID | 1660873 |
| Credential Number | 23.004493 |
| Credential Type | Physician Assistant |
| Business Address |
111 Founders Plz Ste 400 East Hartford CT 06108-3240 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-17 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1670973 | CSP.0071685 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-24 | 2019-06-24 - 2021-02-28 | ACTIVE |
| 1660872 | 23-TEMP | Physician Assistant Temporary Permit | - | EXPIRED APPLICATION |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Molly J Mable | 6 Latimer Ln, Simsbury, CT 06070-2749 | Radiographer | 2020-06-01 ~ 2021-05-31 |
| Street Address | 111 FOUNDERS PLZ STE 400 |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108-3240 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John K. Horky | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| John P Volpe Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Matthew Francois Del Guzzo | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Bret F Coughlin Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joshua A Kallen | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Suzanna Poplawski | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Steve Y Lee Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Thomas H Farquhar Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Margaret K Szerejko Md · Jefferson X-ray Group Incorporated | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas D Montgomery | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen K Ohki Md | 16 Colonial Drive North, Bloomfield, CT 06108-3240 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Diana M. James Md | 111 Founders Plz, East Hartford, CT 06108-3240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Delaila Kim Nguyen | 51 Rene St, East Hartford, CT 06108 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Roger G Troie | 36 Brook St, East Hartford, CT 06108 | Optician | 2020-06-01 ~ 2021-05-31 |
| Terry A Osei | 18 Bunker Lane, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lorena M Briceno | 16 Clark Street, East Hartford, CT 06108 | Real Estate Salesperson | ~ |
| Augustine Appiah Mintah | 51 Brook Street, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nicole Bennett | 96 Goodwin Street, East Hartford, CT 06108 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Patricia Siaca-rodriguez | 265 Tolland Street, East Hartford, CT 06108 | Community Companion Home | 2019-04-11 ~ 2020-04-30 |
| Antonio J Matta | 19 Fellows Lane, East Hartford, CT 06108 | Architect | 2020-08-01 ~ 2021-07-31 |
| Shante R Black | 15 Hopewell Street, East Hartford, CT 06108 | Behavior Analyst | ~ |
| Connecticut Granite & Marble LLC | 161 Woodford Ave Lot B Unit. 48, Plainville, CT 06108 | Home Improvement Contractor | 2020-06-22 ~ 2020-11-30 |
| Find all Licenses in zip 06108 | |||
| City | EAST HARTFORD |
| Zip Code | 06108 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + EAST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Deming | 50 Molly Ln, West Chester, PA 19382-6981 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Maeghan Molly Chapman | 120 Washington Dr, Southington, CT 06489-4359 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Molly Gilchrist | 57 Hibiscus St Apt 3, Fairfield, CT 06825-5449 | Physical Therapist Assistant | 2016-12-01 ~ 2017-11-30 |
| Molly Renee Finnigan | 41 Bass Rd, Windham, CT 06280-2202 | Physical Therapist Assistant | ~ |
| Molly A Algier | 121 Cross St, Westerly, RI 02891-2408 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Molly F Patterson | 301 Cumberland Rd, West Hartford, CT 06119-1049 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Molly A Wong | 10 E Academy St, Wappingers Falls, NY 12590 | Occupational Therapist Assistant | 1995-08-30 ~ 1997-07-31 |
| Molly Sadlowski | 19 Bevin Blvd, East Hampton, CT 06424-1202 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Molly J Mundanchira · Molly Peter | 99 Union Rd, Spring Valley, NY 10977 | Registered Nurse | 2001-02-20 ~ 2002-03-31 |
| 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 |
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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).