JEAN FORD (Credential# 742193) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 25, 1994. The license expiration date date is October 31, 1994. The license status is INACTIVE.
JEAN FORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000444. The credential type is physician assistant. The effective date is April 25, 1994. The expiration date is October 31, 1994. The business address is 90 Garden Street, New Britain, CT 06052. The current status is inactive.
| Licensee Name | JEAN FORD |
| Doing Business As | SMALLS |
| Credential ID | 742193 |
| Credential Number | 23.000444 |
| Credential Type | Physician Assistant |
| Business Address |
90 Garden Street New Britain CT 06052 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-04-22 |
| Effective Date | 1994-04-25 |
| Expiration Date | 1994-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 90 GARDEN STREET |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John P Souza | 90 Garden Street, New Britain, CT 06052 | Electrical Limited Journeyperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa G Ibsen | 126 Winthrop Street, New Britain, CT 06052 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Angelo's Market | 349 W Main St, New Britain, CT 06052 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mya S Tillman | 285 Monroe Street, New Britain, CT 06052 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Victoria Karolczyk | 20 Caral Street, New Britain, CT 06052 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Joanne Walker | 61 Brookside Road, New Britain, CT 06052 | Real Estate Salesperson | ~ |
| Elizabeth J Laska | 425 Lincoln Street, New Britain, CT 06052 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Amparo Channer | 290 Corbin Avenue, New Britain, CT 06052 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Renee' Christa Joseph-ervin | 8 West End Ave, New Britian, CT 06052 | Notary Public Appointment | 2020-06-17 ~ 2025-06-30 |
| Susan B Vitelli | 141 Streamside Lane, New Britain, CT 06052 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kaylie Jean Washburn | 105 South Burritt St. Apt. 2, New Britain, CT 06052 | Professional Counselor Associate | 2020-06-17 ~ 2021-03-31 |
| Find all Licenses in zip 06052 | |||
| City | NEW BRITAIN |
| Zip Code | 06052 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW BRITAIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jon H Szydlo Pa | 70 Ford Rd, Burlington, CT 06013-1515 | Physician Assistant | 2017-09-01 ~ 2018-08-31 |
| Nancy E Jean | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician Assistant | 2017-06-01 ~ 2018-05-31 |
| Brittany Giammalvo | 5 Jean Dr, Old Lyme, CT 06371-1514 | Physician Assistant | 2020-05-06 ~ 2021-03-31 |
| Tara Jean Dempsey | 26 Roseland Ave, Meriden, CT 06450-6913 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Emmanuel N Jean-felix | 100 Hoyt Street, Stamford, CT 06905 | Physician Assistant | 2000-02-15 ~ 2000-11-30 |
| Andrea Jean Kaufmann | 21 Holland View Dr, Southington, CT 06489-2080 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Diana Jean King | 119 Union St., East Walpole, MA 02032 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Gloria Jean Sharp | 1651 Sand Key Estates Ct Apt 18, Clearwater Beach, FL 33767-2933 | Physician Assistant | 2018-07-01 ~ 2019-06-30 |
| Ford Plantation · The Ford Plantation LLC | 12511 Ford Ave, Richmond Hill, GA 31324 | Interstate Land Sales Registration | ~ |
| Jean A Simpson | 116 Ford Street, Ansonia, CT 06401 | Registered Nurse | 2011-05-01 ~ 2012-04-30 |
Please comment or provide details below to improve the information on JEAN FORD.
| 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).