JESSICA TAYLOR WILM (Credential# 1672362) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 9, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
JESSICA TAYLOR WILM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004586. The credential type is physician assistant. The effective date is September 9, 2019. The expiration date is June 30, 2020. The business address is 3069 47th St, Astoria, NY 11103-1571. The current status is active.
| Licensee Name | JESSICA TAYLOR WILM |
| Credential ID | 1672362 |
| Credential Number | 23.004586 |
| Credential Type | Physician Assistant |
| Business Address |
3069 47th St Astoria NY 11103-1571 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-09 |
| Effective Date | 2019-09-09 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-09-25 |
| Street Address | 3069 47TH ST |
| City | ASTORIA |
| State | NY |
| Zip Code | 11103-1571 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Alfonzo | 3414 30th Avenue, Astoria, NY 11103 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Bron David Eyas Almendrala | 31-28 42nd St, Astoria, NY 11103 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Andrew Livanis | 25-71 47th Street, Astoria, NY 11103 | Behavior Analyst | 2020-03-27 ~ 2020-10-31 |
| Priority Realty Capital LLC | 35-23 30th Ave, Astoria, NY 11103 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| George Kolath | 4320 30 Ave, Astoria, NY 11103 | Tax Preparer/facilitator Permit | 2020-02-24 ~ 2022-02-28 |
| Abul Kalam | 3403 30th Avenue, Astoria, NY 11103 | Tax Preparer/facilitator Permit | 2020-02-14 ~ 2022-02-28 |
| Sayedur Ahmed | 3010 35th Street, Astoria, NY 11103 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Charles J Gozdziewski | 28-48 43rd St, Astoria, NY 11103 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Elena Stecny | 2811 37th Street, Astoria, NY 11103 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Laura Ann Tomaso | 48-04 28th Avenue, Astoria, NY 11103 | Notary Public Appointment | 1999-05-14 ~ 2004-05-31 |
| Find all Licenses in zip 11103 | |||
| City | ASTORIA |
| Zip Code | 11103 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + ASTORIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Obrien | 5 Perryridge Rd, Greenwich, CT 06830 | Physician Assistant | ~ |
| Jessica Little | 875 E Main St, Meriden, CT 06450-6006 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Taylor Merrick | 154 Conklin Rd, Stafford Springs, CT 06076-4207 | Physician Assistant | ~ |
| Jessica R Albrycht | 12 Robin Rd, Glastonbury, CT 06033-3256 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jessica Anne Mcdonald | 1 Primrose Ln Apt 2k, Fords, NJ 08863-1192 | Physician Assistant | ~ |
| Patrick G Addo | 6910 Jessica Pl, Fontana, CA 92336-5050 | Physician Assistant | ~ |
| Jessica H Fredeen | 1107 Ne 8th St, Bend, OR 97701-4472 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Jessica M Gonzalez | 41 Maple Ave, Shelton, CT 06484-2129 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jessica Bria | 15 Meadowlawn Rd, Stratford, CT 06614-1523 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jessica A Macwilliams Pa | 35 Wisteria Ln, Suffield, CT 06078-2381 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).