JENNIE SHAR (Credential# 1995415) 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.
JENNIE SHAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004734. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 550 Circular Ave, Hamden, CT 06514. The current status is active.
| Licensee Name | JENNIE SHAR |
| Credential ID | 1995415 |
| Credential Number | 23.004734 |
| Credential Type | Physician Assistant |
| Business Address |
550 Circular Ave Hamden CT 06514 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-02-05 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2005906 | CSP.0073133 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-02-06 | 2020-02-06 - 2021-02-28 | ACTIVE |
| Street Address | 550 Circular Ave |
| City | Hamden |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | Hamden |
| Zip Code | 06514 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennie Putnam Pa | 45 Linden Ave, Branford, CT 06405 | Physician Assistant | 1996-03-05 ~ 1997-03-31 |
| Jennie A Day | 468 Cotton Hill Rd, New Hartford, CT 06057-3403 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Jennie Moody | 5 Cherry St, Pawcatuck, CT 06379 | Family Child Care Assistant | 1996-11-30 ~ 1996-11-30 |
| Jennie's Pizza · Jennie's Pizzeria Inc | 380 Monroe Tpke, Monroe, CT 06468 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jennie Taylor | 129 Elmwood Place, Bridgeport, CT 06605 | Family Child Care Assistant | 1999-01-31 ~ 1999-01-31 |
| Maria Shar'de White | 208 Belridge Road, New Britain, CT 06053 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Shar-ron D Skeeter | 13311 Garden State Dr Apt C, Newport News, VA 23602-5714 | Licensed Practical Nurse | 2012-01-01 ~ 2012-12-31 |
| Jennie V Garver | 26 View Pl, Guilford, CT 06437-1403 | Physician/surgeon | 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 |
| Raquel R Huruta-dias Md | 35 Jennie Lane, Westport, CT 06880 | Physician/surgeon | 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).