JENNIFER J JACKSON
Physician Assistant


Address: 7479 Harbor Cove Lane, Stone Mountan, GA 30087

JENNIFER J JACKSON (Credential# 1259364) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.

Business Overview

JENNIFER J JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003269. The credential type is physician assistant. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 7479 Harbor Cove Lane, Stone Mountan, GA 30087. The current status is active.

Basic Information

Licensee Name JENNIFER J JACKSON
Credential ID 1259364
Credential Number 23.003269
Credential Type Physician Assistant
Business Address 7479 Harbor Cove Lane
Stone Mountan
GA 30087
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-01-30
Effective Date 2019-10-01
Expiration Date 2020-09-30
Refresh Date 2019-11-26

Office Location

Street Address 7479 Harbor Cove Lane
City Stone Mountan
State GA
Zip Code 30087

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Shanic Monique Addison 6707 Pine Valley Trace, Stone Mountain, GA 30087 Registered Nurse 2017-12-04 ~ 2018-04-30
Stephenson Terron 699 Vakview Trl, Stone Mountain, CA 30087 Tv & Radio Limited Dish Antenna Technician ~
Penta C. Enterprises Inc. 2217 Gunstock Drive, St. Mountain, GA 30087 Public Charity-exempt From Financial Requirements ~
Sharon L Mattingly 5481 Smoke Rise Drive, Stone Mountain, GA 30087 Registered Nurse 2015-02-01 ~ 2016-01-31
Sopan N Chaudhari 5875 Heritage Lane, Stone Mtn, GA 30087 Professional Engineer 1995-01-10 ~ 1996-01-31
Gerilyn A Metoyer 4927 Kanawha Bluff, Stone Mountain, GA 30087 Physician/surgeon 2012-02-01 ~ 2013-01-31
Marcella Barrington 5585 Mountain View Pass, Stone Mountain, GA 30087 Registered Nurse 2011-07-01 ~ 2012-06-30
Rector & Moffitt, P.C. 2155 W. Park Pl. Blvd., Suite, Stone Mountain, GA 30087 Certified Public Accountant Firm Permit 2005-01-01 ~ 2005-12-31
Amelia Carter · Johnson 5614 Boggs Dr, Stone Mountain, GA 30087 Dental Hygienist 2000-01-10 ~ 2001-03-31
Latasha L Canady 592 Dove Lane, Stone Mountain, GA 30087 Licensed Practical Nurse 2007-01-22 ~ 2008-01-31
Find all Licenses in zip 30087

Competitor

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City Stone Mountan
Zip Code 30087
License Type Physician Assistant
License Type + County Physician Assistant + Stone Mountan

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Dataset Information

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).

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