PAMELA JACKSON (Credential# 2003417) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 24, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
PAMELA JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004817. The credential type is physician assistant. The effective date is May 24, 2020. The expiration date is January 31, 2021. The business address is 120 Park Lane Road, New Milford, CT 06776. The current status is active.
Licensee Name | PAMELA JACKSON |
Credential ID | 2003417 |
Credential Number | 23.004817 |
Credential Type | Physician Assistant |
Business Address |
120 Park Lane Road New Milford CT 06776 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-05-24 |
Effective Date | 2020-05-24 |
Expiration Date | 2021-01-31 |
Refresh Date | 2020-05-26 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pamela Jackson | 808 Four Rod Road P.o. Box 7333, Kensington, CT 06037 | Medication Administration Certification | 2004-06-05 ~ 2006-06-04 |
Street Address | 120 Park Lane Road |
City | New Milford |
State | CT |
Zip Code | 06776 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Community Mental Health Affiliates Inc. · Northwest Center for Family Service and Mental Health, Inc. | 120 Park Lane Road, New Milford, CT 06776 | Psychiatric Outpatient Clinic | 2009-02-02 ~ 2012-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tai Nguyen | 3 Briar Ln, New Milford, CT 06776 | Nail Technician | 2020-06-27 ~ 2022-05-31 |
Deborah Lee Winter | 22 Morey Road, New Milford, CT 06776 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
Sega Ready Mix | 519 Danbury Rd, New Milford, CT 06776 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Nicole L Lynch | 13 Skyview Drive, New Milford, CT 06776 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Filipe Fialho Fernandes | 14 Wellsville Ave, New Milford, CT 06776 | Tattoo Technician | 2020-06-01 ~ 2022-05-31 |
Petrela Nail & Spa Inc | 60 Park Lane Road, New Milford, CT 06776 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Carol S Glintenkamp | 12 Saddle Ridge Rd., New Milford, CT 06776 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Bradley A Kamp | 11 Saddle Ridge Road, New Milford, CT 06776 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
John W Slattery | 8 West Meetinghouse Rd, New Milford, CT 06776 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Stephen J Ferreira | 123 Washington Ridge Road, New Milford, CT 06776 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
Find all Licenses in zip 06776 |
City | New Milford |
Zip Code | 06776 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + New Milford |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pamela A Lambert Pa-c | 77 Prospect St Apt T6, Stamford, CT 06901-1606 | Physician Assistant | 2010-05-01 ~ 2011-04-30 |
Christopher Moorman | 348 Whetstone, Jackson, MO 63755 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Pamela A Brewster Pa | 1140 Marion St Apt #3, Denver, CO 80218 | Physician Assistant | 2008-11-03 ~ 2009-08-31 |
Pamela R Fanning Pa | 7 Whitney Street, Westport, CT 06880 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Pamela N Warren | 56 Franklin Street, Waterbury, CT 06705 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Karina Chu | 37-10 76th Street, Jackson Heights, NY 11372 | Physician Assistant | 2011-02-01 ~ 2012-01-31 |
Andrew M Cruz | 3354 83rd St Apt E31, Jackson Heights, NY 11372-1480 | Physician Assistant | ~ |
Pamela L Frappier | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074-5560 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Pamela J Condon | Integrated Anesthesia Associates, Hartford, CT 06106 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Pamela A Whibby | 4204 Dewfield Drive, Wilson, NC 27896 | Physician Assistant | 2015-02-01 ~ 2016-01-31 |
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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).