JENNIFER S DODGE PA (Credential# 742656) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
JENNIFER S DODGE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000907. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 40 Temple St Suite 4a, New Haven, CT 06510. The current status is active.
| Licensee Name | JENNIFER S DODGE PA |
| Credential ID | 742656 |
| Credential Number | 23.000907 |
| Credential Type | Physician Assistant |
| Business Address |
40 Temple St Suite 4a New Haven CT 06510 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-12-22 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 229706 | CSP.0029130 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-01-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 40 TEMPLE ST SUITE 4A |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Spiro Md | 40 Temple St Suite 4a, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Wolfman | 47-33 245th St, Douglaston, NY 11362 | Physician Assistant | ~ |
| Jennifer A Brook | 70 Litchfield Rd, Unionville, CT 06085-1318 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jennifer A Platt | 4264 4th Ave S, Birmingham, AL 35222-2727 | Physician Assistant | 2016-02-09 ~ 2016-10-31 |
| Jennifer M Schloth | 336 E 18th St Apt 1a, New York, NY 10003-0610 | Physician Assistant | 2017-08-23 ~ 2018-08-31 |
| Jennifer Kowalczuk | 235 S Orchard St, Wallingford, CT 06492-4521 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jennifer A Clauss | 20 York St, New Haven, CT 06510 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jennifer O Tschorn | 171 Bedford Rd, Katonah, NY 10536-2308 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Jennifer Kokalari Pa | 71 Applewood Rd, Branford, CT 06405-6104 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Irving | 28 Magnolia St., Norwalk, CT 06850 | Physician Assistant | 2009-01-13 ~ 2010-01-31 |
| 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).