JILL K MARTINEZ
Physician Assistant


Address: 250 Nimham Road, Carmel, NY 10512

JILL K MARTINEZ (Credential# 1420218) is licensed (Physician Assistant) 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.

Business Overview

JILL K MARTINEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003862. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 250 Nimham Road, Carmel, NY 10512. The current status is active.

Basic Information

Licensee Name JILL K MARTINEZ
Credential ID 1420218
Credential Number 23.003862
Credential Type Physician Assistant
Business Address 250 Nimham Road
Carmel
NY 10512
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-06-30
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-04-16

Other licenses

ID Credential Code Credential Type Issue Term Status
1428433 CSP.0065723 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-07-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 250 nimham road
City carmel
State NY
Zip Code 10512

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Nubia Mabel Curipoma Sarango 1335 Route 6, Carmel, NY 10512 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Camille Osterling Po Box 641, Carmel, NY 10512 Barber 2020-07-01 ~ 2022-06-30
Heather L Schultz 6 Collier Dr, Carmel, NY 10512 Physical Therapist 2020-07-01 ~ 2021-06-30
Jana Wedrova 306 Seminary Hill Rd, Carmel, NY 10512 Esthetician 2020-06-17 ~ 2022-01-31
Mary Eileen Dolenk 2903 Morgan Dr, Carmel, NY 10512 Registered Nurse 2020-08-01 ~ 2021-07-31
Cynthia L Teeple 14 Laurel Mountain Ct, Carmel, NY 10512 Registered Nurse 2020-07-01 ~ 2021-06-30
Tara Joan 452 Horsepound Road, Carmel, NY 10512 Advanced Practice Registered Nurse ~
Marc Anthony Roman 2 Valhalla Road, Carmel, NY 10512 Emergency Medical Technician ~
Valerie J Port 1311 Route #6, Carmel, NY 10512 Real Estate Salesperson 2019-09-11 ~ 2020-05-31
Kim Brady Locascio 50 Lacrosse Rd, Carmel, NY 10512 Real Estate Salesperson 2019-06-01 ~ 2020-05-31
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Competitor

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City carmel
Zip Code 10512
License Type Physician Assistant
License Type + County Physician Assistant + carmel

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Jill M Finnegan 79 Dunn Avenue, Stamford, CT 06905 Physician Assistant 1994-03-04 ~ 1995-02-28
Jill A Duggan 3239 Poplar St, Yorktown Heights, NY 10598-2621 Physician Assistant 2020-03-01 ~ 2021-02-28
Jill L Schreiber 221 East 23rd Street, New York, NY 10010 Physician Assistant 2001-07-23 ~ 2002-04-30
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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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