JASON L HERNANDEZ (Credential# 1079136) is licensed (Dentist) 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.
JASON L HERNANDEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010829. The credential type is dentist. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 34 Mcdivitt Drive, Manchester, CT 06042. The current status is active.
| Licensee Name | JASON L HERNANDEZ |
| Credential ID | 1079136 |
| Credential Number | 2.010829 |
| Credential Type | Dentist |
| Business Address |
34 Mcdivitt Drive Manchester CT 06042 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-08-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-06-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1124044 | CSP.0053744 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-09-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 34 Mcdivitt Drive |
| City | Manchester |
| State | CT |
| Zip Code | 06042 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | Manchester |
| Zip Code | 06042 |
| License Type | Dentist |
| License Type + County | Dentist + Manchester |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zara Hernandez | 403 Townehouse Dr, Coram, NY 11727-2838 | Dentist | 2019-11-13 ~ 2020-02-29 |
| Erlyn P Hernandez | 380 Prospect Ave., Hackensack, NJ 07601 | Dentist | 2000-03-24 ~ 2000-10-31 |
| Jason Rodriguez-hernandez | 114 Exchange St, New Haven, CT 06513 | Real Estate Salesperson | ~ |
| Hernandez Hardscapes · Hernandez Harscapes | 2170 Stanley St, New Britain, CT 06053-1545 | Home Improvement Contractor | ~ |
| Juan O Hernandez · Hernandez Enterprises | 727 Hallet St, Bridgeport, CT 06608 | Home Improvement Contractor | 1998-01-07 ~ 1998-11-30 |
| Jason T Raney | 10 Wall St., Hebron, CT 06248 | Dentist | 2019-10-01 ~ 2020-09-30 |
| Jason Scott | 3229 Traver Dr, Broomfield, CO 80023-4648 | Dentist | ~ |
| Jason H Seo | 1307 Overlook Dr., Fort Lee, NJ 07024 | Dentist | 2000-10-13 ~ 2001-10-31 |
| Jason Y Hong Dds | 100 Jefferson Sq Apt 2e, Waterbury, CT 06706 | Dentist | 2005-02-07 ~ 2006-02-28 |
| Jason R Glazer Dmd | 16 Main St Ste 303, Durham, CT 06422-2116 | Dentist | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on JASON L HERNANDEZ.
| 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).