MORIAH GRACE JOHNSTON
Physician Assistant


Address: 20 Breezy Hill Rd, South Windsor, CT 06074-2811

MORIAH GRACE JOHNSTON (Credential# 1516537) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MORIAH GRACE JOHNSTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004119. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 20 Breezy Hill Rd, South Windsor, CT 06074-2811. The current status is active.

Basic Information

Licensee Name MORIAH GRACE JOHNSTON
Credential ID 1516537
Credential Number 23.004119
Credential Type Physician Assistant
Business Address 20 Breezy Hill Rd
South Windsor
CT 06074-2811
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-06-23
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-19

Other licenses

ID Credential Code Credential Type Issue Term Status
1525989 CSP.0068792 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-06-25 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 20 BREEZY HILL RD
City SOUTH WINDSOR
State CT
Zip Code 06074-2811

Licenses in the same zip code

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Daniel R Troiano 75 Heritage Drive, South Windsor, CT 06074 Embalmer 2020-08-01 ~ 2021-07-31
Kyle A Jones 38 Marilyn Road, South Windsor, CT 06074 Real Estate Salesperson ~
Beelzebub Road 310 Beelzebub Road, South Windsor, CT 06074 Public Community Living Arrangement 2018-07-01 ~ 2020-06-30
Barbara Brant Feehan 139 Rockledge Drive, South Windsor, CT 06074 Audiologist 2020-09-01 ~ 2021-08-31
Jillmarie S Macaluso 230 Orchard Hill Dr, S Windsor, CT 06074 Respiratory Care Practitioner 2020-08-01 ~ 2021-07-31
Jason K Smith 854 Foster Street Ext, South Windsor, CT 06074 Professional Engineer 2020-06-26 ~ 2021-01-31
Abc Property Care LLC 376 Pleasant Valley Road, South Windsor, CT 06074 Home Improvement Contractor 2020-06-26 ~ 2020-11-30
Ashley Ann Corridori 21 Abar Lane, South Windsor, CT 06074 Physician Assistant 2020-07-01 ~ 2021-06-30
Rawnak Afrose 120 Loomis Rd, South Windsor, CT 06074 Real Estate Salesperson 2020-06-15 ~ 2021-05-31
Adeola Martins 467 Oakland Road, South Windsor, CT 06074 Licensed Practical Nurse ~
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Competitor

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City SOUTH WINDSOR
Zip Code 06074
License Type Physician Assistant
License Type + County Physician Assistant + SOUTH WINDSOR

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Improve Information

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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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