JENNA RAE MILLER (Credential# 2002216) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 19, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JENNA RAE MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004747. The credential type is physician assistant. The effective date is February 19, 2020. The expiration date is February 28, 2021. The business address is 298 Moore Street, Chicopee, MA 01013. The current status is active.
| Licensee Name | JENNA RAE MILLER |
| Credential ID | 2002216 |
| Credential Number | 23.004747 |
| Credential Type | Physician Assistant |
| Business Address |
298 Moore Street Chicopee MA 01013 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-02-19 |
| Effective Date | 2020-02-19 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-20 |
| Street Address | 298 Moore Street |
| City | Chicopee |
| State | MA |
| Zip Code | 01013 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyung Mi So | 64 Elcon Dr., Chicopee, MA 01013 | Nail Technician | ~ |
| Julio A Cordero | 1193 Grattan St, Chicopee, MA 01013 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Dustin Ruby | 275 Moore St., Chicopee, MA 01013 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Jacintha T Devillier | 4 Fanjoy Drive, Chicopee, MA 01013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Wilson | 30 Burlingame St., Chicopee, MA 01013 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Brennan Bahnson | 60 Barre Cir, Chicopee, MA 01013 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Melissa Anne Ross | 88 Rivers Ave #4, Chicopee, MA 01013 | Casino Class I Employee | 2020-04-21 ~ 2020-10-31 |
| Linda J Kapinos | 8 Villa La, Chicopee, MA 01013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nicholas Midura | 40 John St., Chicopee, MA 01013 | Backflow Prevention Device Tester | 2017-04-01 ~ 2020-09-30 |
| Briana M Cleary | 200 Newbury Street, Chicopee, MA 01013 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 01013 | |||
| City | Chicopee |
| Zip Code | 01013 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Chicopee |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jenna Garozzo | 21 Windsor Rd, Milford, MA 01757 | Physician Assistant | 2017-10-01 ~ 2018-09-30 |
| Jenna Turcotte | 142 Autumn St Apt G, Agawam, MA 01001-2851 | Physician Assistant | 2016-06-01 ~ 2017-05-31 |
| Jenna Elizabeth Werblin | 119 Towne St Apt 110, Stamford, CT 06902-5964 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| David A Barsky Pa | 7791 Jenna Dr, Goleta, CA 93117-1074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jenna Kaitlyn Cordeiro | 32 Hog Hill Rd, East Hampton, CT 06424-1821 | Physician Assistant | ~ |
| Jenna L Ray | 26920 Jefferson Center St, Cassopolis, MI 49031-8801 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jenna E Partola | 1327 Meriden Road, Wolcott, CT 06716 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jenna Leigh Trenbeath | 1302 Highcroft Place, Weatogue, CT 06089 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Bethany L Miller Pa | 51 Water St, Canterbury, CT 06331-1342 | Physician Assistant | 2019-06-01 ~ 2020-05-31 |
| Kortney R Ribbeck Pa-c | 130 Miller Street, New Britain, CT 06053 | Physician Assistant | 2007-09-28 ~ 2008-04-30 |
Please comment or provide details below to improve the information on JENNA RAE MILLER.
| 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).