JENINE DECAPRIO GESINO PA-C (Credential# 742472) 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.
JENINE DECAPRIO GESINO PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000723. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 133 Upper Pattagansett Rd, East Lyme, CT 06333. The current status is active.
| Licensee Name | JENINE DECAPRIO GESINO PA-C |
| Credential ID | 742472 |
| Credential Number | 23.000723 |
| Credential Type | Physician Assistant |
| Business Address |
133 Upper Pattagansett Rd East Lyme CT 06333 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-02-13 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 285018 | CSP.0031266 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-08-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 133 UPPER PATTAGANSETT RD |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Pearson | 6201 Maple Tree Lane, East Lyme, CT 06333 | Behavior Analyst | ~ |
| Aura M Serdici | 7 Ferro Dr, East Lyme, CT 06333 | Esthetician | ~ |
| Lawrence J Darling Jr · Darling Carpentry | 61 Mostowy Rd, East Lyme, CT 06333 | Home Improvement Contractor | 2020-06-19 ~ 2020-11-30 |
| Sandeep B Varma | 30 Plum Hill Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter J Famiglietti Md | 339 Flanders Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Beth A Stoddard | 8 Greentree Drive, East Lyme, CT 06333 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott's Yankee Farmer | 291 N Bride Brook Rd, East Lyme, CT 06333 | Apple Juice & Cider Manufacturer | 2020-07-01 ~ 2021-06-30 |
| Katherine E Whalen | 339 Flanders Rd Ste 109, East Lyme, CT 06333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| May L Diep | 88 Arbor Crossing, East Lyme, CT 06333 | Nail Technician | ~ |
| Cash True Value | 300 Flanders Rd, East Lyme, CT 06333 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06333 | |||
| City | EAST LYME |
| Zip Code | 06333 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + EAST LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew Decaprio | 7334 Town Brooke, Middletown, CT 06457 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Daniel Decaprio · Decaprio Carpentry | 131 Kitemaug Rd, Uncasville, CT 06382-2203 | Home Improvement Contractor | 2020-02-17 ~ 2020-11-30 |
| Joel Stephen Decaprio · Decaprio Home Improvement | 142 Bascom Rd, Lebanon, CT 06249-1603 | Emergency Medical Responder | 2018-05-17 ~ 2021-01-01 |
| Decaprio Cpa & Associates PC | 500 East Main Street, Branford, CT 06405 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Decaprio, Fazzuoli & D'agostino, P.C. | 500 East Main Street, Branford, CT 06405 | Certified Public Accountant Firm Permit | 2013-01-01 ~ 2013-12-31 |
| Macare, Decaprio and Cusano | 66 North Main Street, Branford, CT 06405 | Certified Public Accountant Firm Permit | 1990-12-26 ~ 1990-12-31 |
| Decaprio, Cusano, Fazzuoli & D'agostino, P.C. | 500 East Main Street, Branford, CT 06405 | Certified Public Accountant Firm Permit | 1995-01-11 ~ 1995-12-31 |
| Emily J Gesino | 193 Old Coach Hwy, Hamden, CT 06518-2024 | Dietitian/nutritionist | 2014-07-01 ~ 2015-06-30 |
| 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 |
| Jack P Gesino | 193 Old Coach Hwy, Hamden, CT 06518 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
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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).