JACLYN JOSEPHINE TROTTA (Credential# 1662902) 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.
JACLYN JOSEPHINE TROTTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004510. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 171 Thornycroft Ave, Staten Island, NY 10312-6228. The current status is active.
| Licensee Name | JACLYN JOSEPHINE TROTTA |
| Credential ID | 1662902 |
| Credential Number | 23.004510 |
| Credential Type | Physician Assistant |
| Business Address |
171 Thornycroft Ave Staten Island NY 10312-6228 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-12 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1677643 | CSP.0072040 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-07-23 | 2019-07-23 - 2021-02-28 | ACTIVE |
| Street Address | 171 THORNYCROFT AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-6228 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Biana Volfinzon | 187 Arbutus Ave., Staten Island, NY 10312 | Physician/surgeon | ~ |
| Laren Encarnacion | 482 Wilson Avenue, Staten Island, NY 10312 | Registered Nurse | ~ |
| Joseph J Aliotta | 74 Robinson Ave, Staten Island, NY 10312 | Architect | 2020-08-01 ~ 2021-07-31 |
| David P Suarez | 3733 Richmond Avenue, Staten Island, NY 10312 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Raven Devincenzo Md | 59 Van Brunt St, Staten Island, NY 10312 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Yanina Gleyzer | 246 Hillcrest Street, Staten Island, NY 10312 | Master's Level Social Worker | 2019-10-01 ~ 2020-09-30 |
| Richard Louis Sosa | 15 Osage Lane, Staten Island, NY 10312 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Janice Riso | 241 Kinghorn St, Staten Island, NY 10312 | Resident Physician | 2015-07-01 ~ 2019-06-30 |
| Bedzet Vejselovski · E. V. Masonry | 169 Rathbun Ave, Staten Island, NY 10312 | Home Improvement Contractor | 2006-01-25 ~ 2006-11-30 |
| Frederick A Barbieri | 62 Covington Circle, Staten Island, NY 10312 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Find all Licenses in zip 10312 | |||
| City | STATEN ISLAND |
| Zip Code | 10312 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STATEN ISLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jaclyn Rose Neveu | 393 Divinity St, Bristol, CT 06010-6019 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jaclyn D Colfer | 22 Crystal Brook Rd, Wolcott, CT 06716-1343 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jaclyn Milano | 23 Tyler St, West Haven, CT 06516-6823 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jaclyn M Thompson | 2 Quail Hollow Ct, Beacon Falls, CT 06403-1283 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Marena Josephine Harrison | 101 Limner Cir, Rocky Hill, CT 06067-3247 | Physician Assistant | 2020-06-10 ~ 2021-06-30 |
| Joseph A Trotta · Trotta's Supermarkets | Route 41, Sharon, CT 06069 | Grocery Beer | 2008-10-01 ~ 2009-09-23 |
| Trotta's | Route 41, Sharon, CT 06069 | Non Legend Drug Permit | 2008-01-08 ~ 2008-12-31 |
| Kevin E Trotta · Handy-man By Trotta | 6 Woods Way, New Fairfield, CT 06812-4113 | Home Improvement Contractor | 2013-05-08 ~ 2013-11-30 |
| Joseph Trotta · Trotta Builders | 43 Inez St, Narragansett, RI 02882 | New Home Construction Contractor | 2006-04-28 ~ 2007-09-30 |
| Louis J Trotta IIi · Jay Trotta Builder | 338 Norfolk Rd, North Canaan, CT 06024 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
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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).