JESSICA MARIE TEMPLE (Credential# 1631464) 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.
JESSICA MARIE TEMPLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004457. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 14 Molleur View Dr, Beacon Falls, CT 06403-1036. The current status is active.
| Licensee Name | JESSICA MARIE TEMPLE |
| Credential ID | 1631464 |
| Credential Number | 23.004457 |
| Credential Type | Physician Assistant |
| Business Address |
14 Molleur View Dr Beacon Falls CT 06403-1036 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-03 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1666739 | CSP.0071427 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-06 | 2019-06-06 - 2021-02-28 | ACTIVE |
| Street Address | 14 MOLLEUR VIEW DR |
| City | BEACON FALLS |
| State | CT |
| Zip Code | 06403-1036 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tedah Celine Chan | 13 Molleur View Dr, Beacon Falls, CT 06403-1036 | Registered Nurse | 2020-06-04 ~ 2021-06-30 |
| David P Goncalves | 8 Molleur View Dr, Beacon Falls, CT 06403-1036 | Respiratory Care Practitioner | 2020-04-01 ~ 2021-03-31 |
| Katya Agamy | 9 Molleur View Dr, Beacon Falls, CT 06403-1036 | Emergency Medical Technician | 2019-07-29 ~ 2022-06-30 |
| Deborah A Boland | 18 Molleur View Dr, Beacon Falls, CT 06403-1036 | Real Estate Salesperson | 2008-09-08 ~ 2009-05-31 |
| John F Gregorio | 17 Molleur View Dr, Beacon Falls, CT 06403-1036 | Emergency Medical Technician | 2010-05-11 ~ 2012-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bronislawa A Zieba | 118 Rice Ln Ext, Beacon Falls, CT 06403 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jtp Construction LLC | 53 Lancaster Dr, Beacon Falls, CT 06403 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Brett J Tanner | 699 Skokorat Road, Beacon Falls, CT 06403 | Plumbing & Piping Unlimited Journeyperson | 2020-06-21 ~ 2020-10-31 |
| Diane L Santos | 19 Molleur View Drive, Beacon Falls, CT 06403 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Madeline R Godlewski | 194 Lasky Rd, Beacon Falls, CT 06403 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| It's A Grind LLC | 20 North Main Street, Beacon Falls, CT 06403 | Bakery | 2020-06-24 ~ 2021-06-30 |
| Daniel R Sullivan | 75 Avenue C, Beacon Falls, CT 06403 | Distribution System Operator In Training | 2020-04-01 ~ 2023-03-31 |
| Joy F Johnson-brown | 14 Gruber Rd, Beacon Falls, CT 06403 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Victoria B Breare | 39 Brockton Ct, Beacon Falls, CT 06403 | Emergency Medical Technician | 2017-10-06 ~ 2020-06-30 |
| Barbara Dlugos · Foley | 765 Burton Rd, Beacon Falls, CT 06403 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06403 | |||
| City | BEACON FALLS |
| Zip Code | 06403 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BEACON FALLS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gunjan Kumar Pa | 40 Temple Street, New Haven, CT 06510 | Physician Assistant | 2001-06-08 ~ 2002-07-31 |
| Jennifer S Dodge Pa | 40 Temple St Suite 4a, New Haven, CT 06510 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| 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 L White | Neuroscience Icu, New Haven, CT 06510-3220 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jessica F Rosenthal | 14 Rose Ct, Providence, RI 02906-4637 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jessica A White Pa-c | 114 Woodland St, Hartford, CT 06105-1208 | Physician Assistant | 2014-06-01 ~ 2015-05-31 |
| Jessica A Macwilliams Pa | 35 Wisteria Ln, Suffield, CT 06078-2381 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jessica H Fredeen | 1107 Ne 8th St, Bend, OR 97701-4472 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Jessica Anne Mcdonald | 1 Primrose Ln Apt 2k, Fords, NJ 08863-1192 | Physician Assistant | ~ |
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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).