JON H SZYDLO PA (Credential# 741997) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2017. The license expiration date date is August 31, 2018. The license status is INACTIVE.
JON H SZYDLO PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000248. The credential type is physician assistant. The effective date is September 1, 2017. The expiration date is August 31, 2018. The business address is 70 Ford Rd, Burlington, CT 06013-1515. The current status is inactive.
| Licensee Name | JON H SZYDLO PA |
| Credential ID | 741997 |
| Credential Number | 23.000248 |
| Credential Type | Physician Assistant |
| Business Address |
70 Ford Rd Burlington CT 06013-1515 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-10-22 |
| Effective Date | 2017-09-01 |
| Expiration Date | 2018-08-31 |
| Refresh Date | 2018-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 261906 | CSP.0030532 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 | 2016-02-17 - 2017-02-28 | INACTIVE |
| Street Address | 70 FORD RD |
| City | BURLINGTON |
| State | CT |
| Zip Code | 06013-1515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Obrizzo | 81 W Side Blvd, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gwendolyn A Nowacki | 16 Village Ln, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erinne P Houton | 298 Jerome Ave, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Subway of Burlington | 292 Spielman Hwy, Burlington, CT 06013 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Aneta Gurtowsky | 2 West Ledge Road, Burlington, CT 06013 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Maria L Main | 79 Pine Hill Road, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven T Miles | 26 Angelas Way, Burlington, CT 06013 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Sally A Larsen | 515 Jerome Avenue, Burlington, CT 06013 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Barbara C Grindal | 118 Punch Brook Rd, Burlington, CT 06013 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Insu Kim | 48 Monce Rd, Burlington, CT 06013 | Nail Technician | 2020-06-18 ~ 2022-04-30 |
| Find all Licenses in zip 06013 | |||
| City | BURLINGTON |
| Zip Code | 06013 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BURLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Ronald J Szydlo | 36 Donohue Dr, Norwalk, CT 06851 | Pharmacist | 1800-12-27 ~ 1989-03-31 |
| Cheryl L Szydlo | 73 Bloomingdale Rd, Quakerhill, CT 06375 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Todd C Szydlo | 64 Gildersleeve Ave, Collinsville, CT 06019-3007 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Roberta T Szydlo | 6403 Whistling Wind Way, Mt Airy, MD 21771 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Matthew G Szydlo | 114 Scoville Hill Rd, Harwinton, CT 06791-1611 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Lola J Szydlo | 114 Scoville Hill Rd, Harwinton, CT 06791-1611 | Massage Therapist | 2018-12-01 ~ 2020-11-30 |
| Adrian A Szydlo | 101 Briarwood Ln, Middletown, CT 06457-7915 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Alyssa M Szydlo | 73 Bloomingdale Rd, Quaker Hill, CT 06375-1305 | Emergency Medical Technician | 2018-04-05 ~ 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).