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.
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.
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 |
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 |
Street Address | 250 nimham road |
City | carmel |
State | NY |
Zip Code | 10512 |
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 |
Find all Licenses in zip 10512 |
City | carmel |
Zip Code | 10512 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + carmel |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jill M Geoffrion | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician Assistant | 2020-05-18 ~ 2020-12-31 |
Jill W Gulliford | 763 N Greenbrier Dr, Orange, CT 06477-2712 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Jill M Sullivan | 142 Bellridge Rd, Glastonbury, CT 06033-1462 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Jill Aboulian Pa | 21 Lyle Dr, Madison, CT 06443-1897 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Jill L Garland Pa | 98 Althea Rd, North Falmouth, MA 02556-3115 | Physician Assistant | 2017-06-01 ~ 2018-05-31 |
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 |
Jill Lageman | 1933 Sheyenne St Unit D, West Fargo, ND 58078-2684 | Physician Assistant | 2016-09-01 ~ 2017-08-31 |
Anita J Martinez | 5014 Fl Verano Avenue, Eagle Rock, CA 20041 | Physician Assistant | 2000-06-27 ~ 2001-07-31 |
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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).