JANIS A JAQUEZ (Credential# 743492) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
JANIS A JAQUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001743. The credential type is physician assistant. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 74 Park Rd, West Hartford, CT 06119-1853. The current status is active.
| Licensee Name | JANIS A JAQUEZ |
| Credential ID | 743492 |
| Credential Number | 23.001743 |
| Credential Type | Physician Assistant |
| Business Address |
74 Park Rd West Hartford CT 06119-1853 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 2005-12-12 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 754487 | 28.003701 | Radiographer | 2000-06-15 | 2011-12-01 - 2012-11-30 | INACTIVE |
| Street Address | 74 PARK RD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1853 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Essential Health | 74 Park Rd, West Hartford, CT 06119-1853 | Retail Dairy Store | 2020-07-01 ~ 2022-06-30 |
| Janis A Jaquez Pa | 74 Park Rd, West Hartford, CT 06119-1853 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | WEST HARTFORD |
| Zip Code | 06119 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janis A Jaquez Pa | 74 Park Rd, West Hartford, CT 06119-1853 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
| Janis E Morin | 204 Clark Hill Rd, East Haddam, CT 06423-1510 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Corey A Jaquez | 17 Church Hill Rd, Trumbull, CT 06611-3116 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Janis E Grant | 124 Debbie Dr, Meriden, CT 06451-3693 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Christine L Janis | 44 Roselund Hill Rd, Uncasville, CT 06382-2115 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Fred Janis · F Janis Co | 38 Candee Avenue, West Haven, CT 06516 | Home Improvement Contractor | 2002-12-02 ~ 2003-11-30 |
| N.j. Janis | 129 Butler Lane, New Canaan, CT 06840 | Certified Public Accountant Firm Permit | 1987-01-07 ~ 1987-12-31 |
| N. J. Janis, PC | 301 Merritt Seven Corp Park, Monroe, CT 06468 | Certified Public Accountant Firm Permit | 2003-01-01 ~ 2003-12-31 |
| Janis E Vancans · Janis E Vancans Builder | 270 So Woody Hill Rd, Westerly, RI 02891 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Janis S. Siegel | 195 Danbury Road Suite 120, Wilton, CT 06897 | Certified Public Accountant Firm Permit | 2011-01-01 ~ 2011-12-31 |
Please comment or provide details below to improve the information on JANIS A JAQUEZ.
| 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).