JACQUELINE P TALBOT PA (Credential# 743407) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JACQUELINE P TALBOT PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001658. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 22 Woodridge Ln, New Fairfield, CT 06812-5033. The current status is active.
| Licensee Name | JACQUELINE P TALBOT PA |
| Credential ID | 743407 |
| Credential Number | 23.001658 |
| Credential Type | Physician Assistant |
| Business Address |
22 Woodridge Ln New Fairfield CT 06812-5033 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-07-26 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 413962 | CSP.0038047 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-08-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 22 WOODRIDGE LN |
| City | NEW FAIRFIELD |
| State | CT |
| Zip Code | 06812-5033 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Berny Mullappally | 3 Woodridge Ln, New Fairfield, CT 06812-5033 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Heather R Helfman | 7 Woodridge Ln, New Fairfield, CT 06812-5033 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Rinu Mittal | 2 Woodridge Ln, New Fairfield, CT 06812-5033 | Dental Hygienist | 2019-10-01 ~ 2020-09-30 |
| Jillian M Norris | 26 Woodridge Ln, New Fairfield, CT 06812-5033 | Pharmacy Technician | 2010-05-13 ~ 2011-03-31 |
| Timothy F Whelan | 15 Woodridge Ln, New Fairfield, CT 06812-5033 | Emergency Medical Technician | 2015-04-14 ~ 2017-07-01 |
| William T Connor | 6 Woodridge Ln, New Fairfield, CT 06812-5033 | Real Estate Salesperson | ~ |
| Kms Contracting LLC | 7 Woodridge Ln, New Fairfield, CT 06812-5033 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Pepin | 16 Cloverleaf Drive, New Fairfield, CT 06812 | Notary Public Appointment | ~ |
| Antoinett L Crawford | 60 Beaver Bog, New Fairfield, CT 06812 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Goodie Shoppe LLC (the) | 1 Brush Hill Rd, New Fairfield, CT 06812 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Jeffrey R Logel · Fairwood Wine & Liquor | 17 Route 39 Shaw's Plaza, New Fairfield, CT 06812 | Package Store Liquor | 2020-08-11 ~ 2021-08-10 |
| Joseph G Dimyan | 1 Lloyd Avenue, New Fairfield, CT 06812 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Melanie Porter | 2 High Trail Ci Rd, New Fairfield, CT 06812 | Behavior Analyst | 2020-07-01 ~ 2021-06-30 |
| Dara E O'toole | 15 Muller Street, New Fairfield, CT 06812 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Anita Michelle Thompson | 15 Bauer Road, New Fairfield, CT 06812 | Registered Nurse | ~ |
| Maureen Salerno · Schully | 4 Old Orchard Road, New Fairfield, CT 06812 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| John N Devito IIi IIi | 9 Cloverleaf Drive, New Fairfield, CT 06812 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06812 | |||
| City | NEW FAIRFIELD |
| Zip Code | 06812 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlin Talbot | 1 Hospital Plaza, Stamford, CT 06902 | Physician Assistant | 2018-06-01 ~ 2019-05-31 |
| Jacqueline R Braunworth | 68 Division St, Derby, CT 06418-1447 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Jacqueline J Jervis | 281 Seaside Ave, Milford, CT 06460-4601 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jacqueline Tricarico | 81 Nunan Street, Charleston, SC 29403 | Physician Assistant | ~ |
| Jacqueline E Rowan | 111 Salem Tpke Ste 7, Norwich, CT 06360-7403 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Jacqueline A Connor | 2150 Main St, Springfield, MA 01104-3566 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jacqueline Nicole Perez | 891 Mountain Rd, West Hartford, CT 06117 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jacqueline Mary Atkinson | 300 Andrews Way, South Windsor, CT 06074 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| John J Talbot · Talbot Construction | 119 South Main St, E Granby, CT 06026 | Home Improvement Contractor | 2008-02-12 ~ 2008-11-30 |
| Wayne E Talbot · Talbot Carpentry | 146 Berlin Rd, Cromwell, CT 06416 | Home Improvement Contractor | 1996-12-01 ~ 1997-11-30 |
Please comment or provide details below to improve the information on JACQUELINE P TALBOT 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).