JOEL M BURGOS (Credential# 1227434) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JOEL M BURGOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003120. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 115 West St, Cromwell, CT 06416-1929. The current status is active.
| Licensee Name | JOEL M BURGOS |
| Credential ID | 1227434 |
| Credential Number | 23.003120 |
| Credential Type | Physician Assistant |
| Business Address |
115 West St Cromwell CT 06416-1929 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-03 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1225852 | CSP.0057247 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 909709 | 70.011593 | Emergency Medical Technician | 2010-01-08 | 2010-01-08 - 2012-06-30 | INACTIVE |
| Street Address | 115 WEST ST |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-1929 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | CROMWELL |
| Zip Code | 06416 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + CROMWELL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alison L Mcpherson | 127 Joel Drive, Hebron, CT 06248 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Joel Bernstein | 50 South Buckboard Lane, Marlborough, CT 06447 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Angel Burgos · Burgos Variety | 743 Artic Street, Bridgeport, CT 06608 | Grocery Beer | 2002-01-04 ~ 2003-01-03 |
| Mercedes Burgos | 273 Jefferson St Fl 1, Hartford, CT 06106-2317 | Family Child Care Assistant | ~ |
| Kayla Burgos | 21 Wellwood Cir, Vernon Rockville, CT 06066-2724 | Family Child Care Assistant | 2014-07-08 ~ 2016-07-31 |
| Ulises Miguel Bonilla Burgos | 4401 N 6th St Apt 101, Mcallen, TX 78504-2575 | Physician/surgeon | 2016-08-29 ~ 2017-03-31 |
| Joel V Iannaccone | 65 Bellevue Ter, Seymour, CT 06483-3201 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
| Christine M Fitzgerald | 34 Joel Drive, Hebron, CT 06248 | Occupational Therapist Assistant | 2015-08-01 ~ 2017-07-31 |
| Joel L Reinholtz | 185 Prospect Hill Rd, Colchester, CT 06415-1622 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| 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).