JAMES R GERACE PA
Physician Assistant


Address: 5 Upland Rd, Middlebury, CT 06762

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 5 UPLAND RD
City MIDDLEBURY
State CT
Zip Code 06762

Licenses in the same zip code

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
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Competitor

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City MIDDLEBURY
Zip Code 06762
License Type Physician Assistant
License Type + County Physician Assistant + MIDDLEBURY

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Dataset Information

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).

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