JESSICA L DEMATOS (Credential# 1260797) 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.
JESSICA L DEMATOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003261. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 26 Barry Ln, Windsor, CT 06095. The current status is active.
| Licensee Name | JESSICA L DEMATOS |
| Credential ID | 1260797 |
| Credential Number | 23.003261 |
| Credential Type | Physician Assistant |
| Business Address |
26 Barry Ln Windsor CT 06095 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-01-06 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1261562 | CSP.0059198 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-01-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 26 Barry Ln |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cherene M Scott | 123 Clover St, Windsor, CT 06095 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marianne Lauri | 9 Mohawk Circle, Windsor, CT 06095 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Elaine R Birthwright Rowe | 71 Ford Road, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Annmarie Blair-atkinson | 19 Hope Circle, Windsor, CT 06095 | Medication Administration Certification | 2020-05-23 ~ 2022-05-22 |
| Cristina Valente | 39 Lochview Dr, Windsor, CT 06095 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bridget C Tran | 500 Huckleberry Rd, Windsor, CT 06095 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Kelli Price | 15 Berrios Hill Road, Windsor, CT 06095 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Yalanda Squirewell | 217 Willowcrest Drive, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Omason O Modeste | 30 Lepage Rd, Windsor, CT 06095 | Emergency Medical Technician | 2017-04-06 ~ 2020-06-30 |
| Mark E Allen | 372 Broad St, Windsor, CT 06095 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06095 | |||
| City | WINDSOR |
| Zip Code | 06095 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WINDSOR |
| 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 Anne Mcdonald | 1 Primrose Ln Apt 2k, Fords, NJ 08863-1192 | Physician Assistant | ~ |
| Jessica M Gonzalez | 41 Maple Ave, Shelton, CT 06484-2129 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jessica A Macwilliams Pa | 35 Wisteria Ln, Suffield, CT 06078-2381 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jessica L White | Neuroscience Icu, New Haven, CT 06510-3220 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jessica R Albrycht | 12 Robin Rd, Glastonbury, CT 06033-3256 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jessica H Fredeen | 1107 Ne 8th St, Bend, OR 97701-4472 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Jessica A White Pa-c | 114 Woodland St, Hartford, CT 06105-1208 | Physician Assistant | 2014-06-01 ~ 2015-05-31 |
| Jessica Bria | 15 Meadowlawn Rd, Stratford, CT 06614-1523 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on JESSICA L DEMATOS.
| 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).