JAMES R GERACE PA (Credential# 742895) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JAMES R GERACE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001146. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 5 Upland Rd, Middlebury, CT 06762. The current status is active.
Licensee Name | JAMES R GERACE PA |
Credential ID | 742895 |
Credential Number | 23.001146 |
Credential Type | Physician Assistant |
Business Address |
5 Upland Rd Middlebury CT 06762 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2001-11-26 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-12 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
300040 | CSP.0031740 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-01-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
871550 | 70.970871 | Emergency Medical Technician | 1997-06-07 | 2019-05-23 - 2019-12-31 | ACTIVE IN RENEWAL |
878041 | 71.980067 | Advanced Emergency Medical Technician | 1998-03-01 | 2017-05-03 - 2019-06-30 | INACTIVE |
Street Address | 5 UPLAND RD |
City | MIDDLEBURY |
State | CT |
Zip Code | 06762 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06762 |
City | MIDDLEBURY |
Zip Code | 06762 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + MIDDLEBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael J Gerace · Gerace & Magaldi | 129 Gaylord Dr, Rocky Hill, CT 06067 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
Gerace Construction Co Inc | 4055 S Saginaw Road, Midland, MI 48640 | Major Contractor | 2009-07-01 ~ 2010-06-30 |
James J. Gerace | 1013 Fair Oaks, Oak Park, IL 60302 | Certified Public Accountant License | 2002-01-01 ~ 2002-12-31 |
Joseph F Gerace Do | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
James H Brown | 11-c Cos Cob Ave, Cos Cob, CT 06807 | Physician Assistant | 2005-11-15 ~ 2006-11-30 |
James E Scliopou Pa-c | 20 Carla Ln, Wilbraham, MA 01095-1454 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
James B Hulin | 40 Prospect, Norwalk, CT 06850 | Physician Assistant | ~ 1996-06-30 |
James J Ryan | P.o. Box 525, Pine Plains, NY 12567 | Physician Assistant | 2003-03-03 ~ 2004-02-29 |
James C. Bigham | 45 Frisbie St, Stamford, CT 06906-2018 | Physician Assistant | 2013-10-01 ~ 2014-10-31 |
James Alsup | 190 Woosamonsa Rd, Pennington, NJ 08534-4002 | Physician Assistant | 2001-08-30 ~ 2002-09-30 |
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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).