JILL A DUGGAN (Credential# 743309) 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.
JILL A DUGGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001560. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 3239 Poplar St, Yorktown Heights, NY 10598-2621. The current status is active.
| Licensee Name | JILL A DUGGAN |
| Credential ID | 743309 |
| Credential Number | 23.001560 |
| Credential Type | Physician Assistant |
| Business Address |
3239 Poplar St Yorktown Heights NY 10598-2621 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-10-29 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 395045 | CSP.0036989 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-01-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 3239 POPLAR ST |
| City | YORKTOWN HEIGHTS |
| State | NY |
| Zip Code | 10598-2621 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Park Severenko | 3231 Poplar St, Yorktown Heights, NY 10598-2621 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Tetro | 302 Lewis Ave, Yorktown Heights, NY 10598 | Architect | 2020-08-01 ~ 2021-07-31 |
| Hye Jung Park | 223 Tree Top Ln, Yorktown Heights, NY 10598 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Roberta Miller | 2390 Claire Court, Yorktown Heights, NY 10598 | Registered Nurse - Temporary | 2020-02-25 ~ 2020-06-24 |
| Annie H Villanueva | 22-10 Mohansic Ave, Yorktown Height, NY 10598 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Hannah Dahlke | 2160 Saw Mill River Rd, Yorktown, NY 10598 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Christine M Castaldo | 3481 Curry Street, Yorktown Heights, NY 10598 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Mary E Hillringhouse | 612 Granite Spring, Yorktown Heights, NY 10598 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Perry H Lerner | 340 Sterling Terrace, Yorktown Heights, NY 10598 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| Joshua H Feinstein | 3373 Sycamore Lane, Yorktown Heights, NY 10598 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Jennifer K Jackman | 3180 Woodfield Court, Yorktown Heights, NY 10598 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10598 | |||
| City | YORKTOWN HEIGHTS |
| Zip Code | 10598 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + YORKTOWN HEIGHTS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy T Duggan Pa | Greenwich Medical Group, Greenwich, CT 06831 | Physician Assistant | 2002-04-24 ~ 2003-04-30 |
| Michael Duggan · Duggan Painting | 21 Wetomachick, Westerly, RI 02891 | Home Improvement Contractor | ~ 1995-06-01 |
| Jill M Geoffrion | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician Assistant | 2020-05-18 ~ 2020-12-31 |
| Jill W Gulliford | 763 N Greenbrier Dr, Orange, CT 06477-2712 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jill Aboulian Pa | 21 Lyle Dr, Madison, CT 06443-1897 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jill M Sullivan | 142 Bellridge Rd, Glastonbury, CT 06033-1462 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jill L Garland Pa | 98 Althea Rd, North Falmouth, MA 02556-3115 | Physician Assistant | 2017-06-01 ~ 2018-05-31 |
| Jill M Finnegan | 79 Dunn Avenue, Stamford, CT 06905 | Physician Assistant | 1994-03-04 ~ 1995-02-28 |
| Jill K Martinez | 250 Nimham Road, Carmel, NY 10512 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jill L Schreiber | 221 East 23rd Street, New York, NY 10010 | Physician Assistant | 2001-07-23 ~ 2002-04-30 |
Please comment or provide details below to improve the information on JILL A DUGGAN.
| 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).