KRISTIN J MARCOUS PA (Credential# 743570) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
KRISTIN J MARCOUS PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001821. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is Connecticut Gi, PC, Rocky Hill, CT 06067. The current status is active.
| Licensee Name | KRISTIN J MARCOUS PA |
| Credential ID | 743570 |
| Credential Number | 23.001821 |
| Credential Type | Physician Assistant |
| Business Address |
Connecticut Gi, PC Rocky Hill CT 06067 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-09-21 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 449339 | CSP.0040549 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-09-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 842235 | 70.002501 | Emergency Medical Technician | 2002-06-04 | 2004-06-10 - 2006-03-31 | INACTIVE |
| 285632 | PTN.0004378 | PHARMACY TECHNICIAN | 2003-04-17 - 2004-03-31 | INACTIVE |
| Street Address | CONNECTICUT GI, PC |
| City | ROCKY HILL |
| State | CT |
| Zip Code | 06067 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David M Chaletsky Md | Connecticut Gi, PC, Rocky Hill, CT 06067 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michelle V Smedley Md | Connecticut Gi, PC, Rocky Hill, CT 06067 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael J Golioto Md | Connecticut Gi, PC, Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J. Driscoll United Labor Agency | 56 Town Line Road, Rocky Hill, CT 06067 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Rose J Dibacco | 21 Woodland Rd, Rocky Hill, CT 06067 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Emily Noreen Kilroy Wolf | 305 Carlton Lane, Rocky Hill, CT 06067 | Art Therapist | ~ |
| Veronica Andrea Pita | 100 Cold Spring Rd, Rocky Hill, CT 06067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kim Simeone | 21 New Britain Ave, Rocky Hill, CT 06067 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
| Kaci Courtemanche | 1105 Harbor View Drive, Rocky Hill, CT 06067 | Master's Level Social Worker - Temporary Permit | ~ |
| Hailing Colon | 35 Grimes Rd. Apt D104, Rocky Hill, CT 06067 | Nail Technician | ~ |
| Diana C D'angelo | 1-d Carillon Drive, Rocky Hill, CT 06067 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| Carmelo Ferla | 54 Wright Rd, Rocky Hill, CT 06067 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jessica Condon | 7 Robbins Lane, Rocky Hill, CT 06067 | Registered Nurse | ~ |
| Find all Licenses in zip 06067 | |||
| City | ROCKY HILL |
| Zip Code | 06067 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + ROCKY HILL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristin L Schmitt Pa-c | 91 Fox Run Rd, Bolton, MA 01740 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kristin Hall | 39 Crystal St, New Canaan, CT 06840 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kristin Aline O'connor | 11 Highland St, Wethersfield, CT 06109-4070 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kristin M Thomson | 4600 Connecticut Ave. Nw, Washington, DC 20008 | Physician Assistant | 2004-06-28 ~ 2005-06-30 |
| Kristin Hayes | 1180 Salt Road, Webster, NY 14580 | Physician Assistant | ~ |
| Kristin J Naramore | 9 Westmoreland Dr, West Hartford, CT 06117-2657 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kristin M Lund Pa-c | 3014 Austin Dr Apt E105, Bremerton, WA 98312-5836 | Physician Assistant | 2012-06-01 ~ 2013-05-31 |
| Kristin Elizabeth Hall | 76 Sunset Rdg, Rocky Hill, CT 06067-2913 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
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| 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).