JESSICA A MACWILLIAMS PA (Credential# 743953) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JESSICA A MACWILLIAMS PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002204. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 35 Wisteria Ln, Suffield, CT 06078-2381. The current status is active.
| Licensee Name | JESSICA A MACWILLIAMS PA |
| Credential ID | 743953 |
| Credential Number | 23.002204 |
| Credential Type | Physician Assistant |
| Business Address |
35 Wisteria Ln Suffield CT 06078-2381 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-11-07 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 521600 | CSP.0044943 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-12-26 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 35 WISTERIA LN |
| City | SUFFIELD |
| State | CT |
| Zip Code | 06078-2381 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| D & D Remodeling LLC | 35 Wisteria Ln, Suffield, CT 06078-2381 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Your Choice Vending | 33 Wisteria Ln, Suffield, CT 06078-2381 | Vending Machine Operator | 2020-07-01 ~ 2021-06-30 |
| Elizabeth A Honey | 37 Wisteria Ln, Suffield, CT 06078-2381 | Marital and Family Therapist | 2020-08-01 ~ 2021-07-31 |
| Enilda T Sliski | 13 Wisteria Ln, Suffield, CT 06078-2381 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Susan H Davis | 42 Wisteria Ln, Suffield, CT 06078-2381 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Kristen E Cooke | 44 Wisteria Ln, Suffield, CT 06078-2381 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Cheryl L Fry | 43 Wisteria Ln, Suffield, CT 06078-2381 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Jeffrey W Davis | 8 Wisteria Ln, Suffield, CT 06078-2381 | Professional Engineer & Land Surveyor | 2020-02-01 ~ 2021-01-31 |
| Home Security Solutions LLC | 18 Wisteria Lane, Suffield, CT 06078-2381 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| James L Barrett | 36 Wisteria Ln, Suffield, CT 06078-2381 | Family Child Care Substitute | ~ |
| Brian M Fry | 43 Wisteria Ln, Suffield, CT 06078-2381 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06078-2381 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jun Jiang | 46 Cedar Crest Ln., Suffield, CT 06078 | Perfusionist | 2020-07-01 ~ 2021-06-30 |
| Lynne M Vallides | 600 Thompsonville Road, Suffield, CT 06078 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Francesco M Antelmi | 41 Diane Lane, Suffield, CT 06078 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Young Ran Won | 875 Overhill Dr., Suffield, CT 06078 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Burl R Sindler | 58 Austin Street, Suffield, CT 06078 | Hearing Instrument Specialist | 2020-08-01 ~ 2022-07-31 |
| Nasser M Saleh | 1257 South Street, Suffield, CT 06078 | Real Estate Salesperson | ~ |
| Praxair Inc | Ucar Street, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Babylon LLC | 1221 Harvey Ln, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Suffield Hardware | 63 Mountain Rd, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donald R Ledoux | 675 East St. North, Suffield, CT 06078 | Chiropractor | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06078 | |||
| City | SUFFIELD |
| Zip Code | 06078 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SUFFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Little | 875 E Main St, Meriden, CT 06450-6006 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Jessica Obrien | 5 Perryridge Rd, Greenwich, CT 06830 | Physician Assistant | ~ |
| Jessica R Albrycht | 12 Robin Rd, Glastonbury, CT 06033-3256 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jessica L Dematos | 26 Barry Ln, Windsor, CT 06095 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jessica M Gonzalez | 41 Maple Ave, Shelton, CT 06484-2129 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jessica Anne Mcdonald | 1 Primrose Ln Apt 2k, Fords, NJ 08863-1192 | Physician Assistant | ~ |
| Jessica Bria | 15 Meadowlawn Rd, Stratford, CT 06614-1523 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jessica A White Pa-c | 114 Woodland St, Hartford, CT 06105-1208 | Physician Assistant | 2014-06-01 ~ 2015-05-31 |
| Jessica H Fredeen | 1107 Ne 8th St, Bend, OR 97701-4472 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Jessica L White | Neuroscience Icu, New Haven, CT 06510-3220 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
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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).