JEFFREY M. DABKOWSKI PA (Credential# 1032166) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.
JEFFREY M. DABKOWSKI PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002639. The credential type is physician assistant. The effective date is August 1, 2012. The expiration date is July 31, 2013. The business address is 120 Plain Rd, South Deerfield, MA 01373-9741. The current status is inactive.
| Licensee Name | JEFFREY M. DABKOWSKI PA |
| Credential ID | 1032166 |
| Credential Number | 23.002639 |
| Credential Type | Physician Assistant |
| Business Address |
120 Plain Rd South Deerfield MA 01373-9741 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-09-12 |
| Effective Date | 2012-08-01 |
| Expiration Date | 2013-07-31 |
| Refresh Date | 2013-11-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1034355 | CSP.0051437 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-09-21 | 2011-09-21 - 2013-02-28 | INACTIVE |
| Street Address | 120 PLAIN RD |
| City | SOUTH DEERFIELD |
| State | MA |
| Zip Code | 01373-9741 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason L Curtis | 242 River Road, South Deerfield, MA 01373 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| George D Gagaris | 14 Industrial Drive East, South Deerfield, MA 01373 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Nathan Crossman | 30 Captain Lathrop Dr, South Deerfield, MA 01373 | Home Improvement Salesperson | 2005-10-18 ~ 2005-11-30 |
| New England Natural Bakers Inc | 203 Long Plain Rd, South Deerfield, MA 01373 | Bakery | 1999-07-01 ~ 2000-06-30 |
| Richard Bradford | 65 Sand Gully Rd, S Deerfield, MA 01373 | Repairer of Weighing & Measuring Devices | 2016-01-01 ~ 2016-12-31 |
| Karen M Plotkin | 101 Plain Road, South Deerfield, MA 01373 | Registered Nurse | 2015-02-01 ~ 2016-01-31 |
| Richard L Woods | 131 Graves St, So Deerfield, MA 01373 | Land Surveyor | 1994-02-02 ~ 1995-01-31 |
| Richard A Barnes | 49 King Philip Av, S Deerfield, MA 01373 | Professional Engineer | 2013-02-01 ~ 2014-01-31 |
| Justin D Baronas | 110 S Mill River Rd, S Deerfield, MA 01373 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Bethann M Ells | 91 Westbrook Road, S.deerfield, MA 01373 | Registered Nurse | 2011-11-01 ~ 2012-10-31 |
| Find all Licenses in zip 01373 | |||
| City | SOUTH DEERFIELD |
| Zip Code | 01373 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SOUTH DEERFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey D Midgley Pa | 191 Eastwood Dr, Seymour, CT 06483 | Physician Assistant | 2008-01-25 ~ 2009-03-31 |
| Jeffrey M Hellman | 544 Whitney Ave, New Haven, CT 06511 | Physician Assistant | 2005-02-22 ~ 2006-03-31 |
| Jeffrey Cantin Pa | 86 Butternut Cir, Wethersfield, CT 06109-4001 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jeffrey Montano Pa | 48 Indian Hill Rd., Milford, CT 06460 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jeffrey A Moss Pa | 135 Abbe Rd, South Windsor, CT 06074 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Jeffrey Heinrich Pa | Yale School of Medicine, New Haven, CT 06510 | Physician Assistant | 1997-12-16 ~ 1999-02-28 |
| Jeffrey E Reut | 788 Kensington Rd, Kensington, CT 06037-3539 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| 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 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
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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).