JOCELYN M DEPATHY PA-C (Credential# 743920) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
JOCELYN M DEPATHY PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002171. The credential type is physician assistant. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 60 Clintonville Rd Unit 301, Northford, CT 06472-1646. The current status is active.
Licensee Name | JOCELYN M DEPATHY PA-C |
Credential ID | 743920 |
Credential Number | 23.002171 |
Credential Type | Physician Assistant |
Business Address |
60 Clintonville Rd Unit 301 Northford CT 06472-1646 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2008-09-25 |
Effective Date | 2020-01-01 |
Expiration Date | 2020-12-31 |
Refresh Date | 2019-10-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
516388 | CSP.0044718 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-10-17 | 2017-03-01 - 2019-02-28 | LAPSED |
844603 | 70.004870 | Emergency Medical Technician | 2004-05-25 | 2006-06-09 - 2008-03-31 | INACTIVE |
Street Address | 60 CLINTONVILLE RD UNIT 301 |
City | NORTHFORD |
State | CT |
Zip Code | 06472-1646 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patrizia O Lorenti | 57 Idylwood Drive, Northford, CT 06472 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
James Lewis Rusconi | 319 Reeds Gap Road, Northford, CT 06472 | Hoisting Equipment Operator | 2018-04-27 ~ 2020-04-27 |
Stephanie A Muraski | 14 Maplewood Lane, Northford, CT 06472 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Jared D Incillo | 41 Blue Trail Dr, Northford, CT 06472 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Joseph Ochenkowski | 84 Parsonage Hl Rd, Northford, CT 06472 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
Domenic Dedomenico | 78 Woodvale Drive, Northford, CT 06472 | Water Treatment Plant Operator - Class Iv | 2020-04-01 ~ 2023-03-31 |
Angel Wulff | 50 Mountain View Terrace, Northford, CT 06472 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Kerry A Augur · Donnaruma | 132 Mill Road, Northford, CT 06472 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Jessica Lynn Mckee | 83 Anderson Road, Northford, CT 06472 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
Erica M Albrecht | 67 Woodhouse Ave., Northford, CT 06472 | Registered Nurse | 2020-06-17 ~ 2021-03-31 |
Find all Licenses in zip 06472 |
City | NORTHFORD |
Zip Code | 06472 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + NORTHFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kaitlyn Depathy | 751 Long Hill Rd Apt E, Middletown, CT 06457-5068 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Jocelyn Batista Mendes | 11 Sylvesters Way, Shelton, CT 06484-5377 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Jocelyn A Smith | 34 Oak Hollow Rd, Springfield, MA 01128-1335 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
Jocelyn C Suarez | 17 Fenwood Dr, Pawling, NY 12564-3234 | Family Child Care Assistant | ~ |
Jocelyn Sebas | 17 Colony Street, Ansonia, CT 06901 | Family Child Care Assistant | 2001-12-31 ~ 2001-12-31 |
Jocelyn Vega | 152 Justice Street, Stamford, CT 06615 | Family Child Care Assistant | 2010-12-28 ~ |
Lisa Depathy | Central Village, CT 06332 | Pharmacy Technician | 1998-10-01 ~ 2000-03-31 |
Jocelyn L Tan | 3636 Waldo Ave, Riverdale, NY 10463 | Physician/surgeon | 1981-01-01 ~ 1994-03-31 |
Keith J Depathy | 65 Brandy St, Bolton, CT 06043-7600 | Bingo Operator | 2012-02-08 ~ |
Jocelyn A. Luongo | 151 Highland Crescent, Toronto, ON M2L 1H2 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
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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).