JODI V HODGE PA (Credential# 743211) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JODI V HODGE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001462. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 122 Neck Rd, Madison, CT 06443-2833. The current status is active.
| Licensee Name | JODI V HODGE PA |
| Credential ID | 743211 |
| Credential Number | 23.001462 |
| Credential Type | Physician Assistant |
| Business Address |
122 Neck Rd Madison CT 06443-2833 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-03-05 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 365340 | CSP.0034726 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 122 NECK RD |
| City | MADISON |
| State | CT |
| Zip Code | 06443-2833 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim M Czepiga | 100 Neck Rd, Madison, CT 06443-2833 | Nursing Home Administrator | 2018-06-01 ~ 2020-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jodi S Hodge | 21 Midhill Dr, Hamden, CT 06514-4840 | Pharmacy Technician | 2016-04-13 ~ 2017-03-31 |
| Hodge Design Associates P C · Hodge Structural Engineers | 22 Chestnut St, Evansville, IN 47713-1022 | Professional Engineering Corporation | 2020-04-30 ~ 2021-04-29 |
| Kylie M Bister | 59 Hodge Rd, Marlborough, CT 06447-1306 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
| Deborah E Hodge | 44 Maritime Dr., Mystic, CT 06355 | Physical Therapist Assistant | ~ 2006-11-01 |
| Kevin M Hodge | 32 Browning Road, Lebanon, CT 06249 | Family Child Care Assistant | 1999-01-31 ~ 1999-01-31 |
| Jodi L Paolella | 4 Abbie Rd, Branford, CT 06405-6062 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Jodi A Coons | 84 Old Pleasant Street, Lee, MA 01238 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Jodi S Rodriguez | 386 Stapleton Rd, Springfield, MA 01109-1552 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Jodi J Azzinaro | 29 Deer Ln, Ivoryton, CT 06442-1120 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Hodge Plumbing & Heating Inc | 227 Ledyard St, New London, CT 06320 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
Please comment or provide details below to improve the information on JODI V HODGE PA.
| 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).