JENNIFER L GORDON PA (Credential# 741771) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JENNIFER L GORDON PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000022. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 99 E River Dr Fl 5, East Hartford, CT 06108-7301. The current status is active.
| Licensee Name | JENNIFER L GORDON PA |
| Credential ID | 741771 |
| Credential Number | 23.000022 |
| Credential Type | Physician Assistant |
| Business Address |
99 E River Dr Fl 5 East Hartford CT 06108-7301 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-06-25 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163876 | CSP.0023076 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 99 E RIVER DR FL 5 |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108-7301 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter U Shen | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| James C Wickwire Md · Hartford Anesthesiology Associates | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Joseph F Gerace Do | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Cally A Regan | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Elizabeth Beatson Aprn | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Gregory L Kernisan Md | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Tiernan Md · Hartford Anesthesiology Associates | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Blaise Smyth | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin Kong Md | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sung-chil Hong Md | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyun Suk Lee Md | 99 East River Dr, 5th Fl, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-03-01 ~ 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 |
|---|---|---|---|
| Gordon Plaut Pa | 13 Hawthorne Hill Rd, Ridgefield, CT 06877-1405 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Donald E Gordon | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Kathryn R Gordon-escobar Pa | 16 Shoreham Rd, New Haven, CT 06512 | Physician Assistant | 2004-10-05 ~ 2005-10-31 |
| Jennifer Ann Gordon | 1468 Madison Ave, New York, NY 10029 | Physician/surgeon | 2019-06-18 ~ 2020-03-31 |
| Jennifer Wolfman | 47-33 245th St, Douglaston, NY 11362 | Physician Assistant | ~ |
| Jennifer L Irving | 28 Magnolia St., Norwalk, CT 06850 | Physician Assistant | 2009-01-13 ~ 2010-01-31 |
| Jennifer Kowalczuk | 235 S Orchard St, Wallingford, CT 06492-4521 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jennifer A Platt | 4264 4th Ave S, Birmingham, AL 35222-2727 | Physician Assistant | 2016-02-09 ~ 2016-10-31 |
| Jennifer A Brook | 70 Litchfield Rd, Unionville, CT 06085-1318 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jennifer Giacobbe | 583 Davenport Ave, New Rochelle, NY 10805-2119 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
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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).