JASON M LORCH (Credential# 2004606) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JASON M LORCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004760. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 22 Woodhill Rd, Trumbull, CT 06611-3356. The current status is active.
Licensee Name | JASON M LORCH |
Credential ID | 2004606 |
Credential Number | 23.004760 |
Credential Type | Physician Assistant |
Business Address |
22 Woodhill Rd Trumbull CT 06611-3356 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-02-27 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2013149 | CSP.0073262 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-02-28 | 2020-02-28 - 2021-02-28 | ACTIVE |
Street Address | 22 WOODHILL RD |
City | TRUMBULL |
State | CT |
Zip Code | 06611-3356 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amanda L Daigle | 22 Woodhill Rd, Trumbull, CT 06611-3356 | Emergency Medical Technician | 2019-07-01 ~ 2022-06-30 |
Jessica P Daigle | 22 Woodhill Rd, Trumbull, CT 06611-3356 | Emergency Medical Technician | 2017-05-10 ~ 2019-06-30 |
Christopher J Daigle | 22 Woodhill Rd, Trumbull, CT 06611-3356 | Emergency Medical Technician | 2014-11-20 ~ 2018-01-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wendy E Yezersky | 9 Woodhill Rd, Trumbull, CT 06611-3356 | Massage Therapist | 2019-02-01 ~ 2021-01-31 |
Vladislav Y Zakharov | 24 Woodhill Rd, Trumbull, CT 06611-3356 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Daniel M Scinto Jr | 24 Woodhill Rd, Trumbull, CT 06611-3356 | Heating, Piping & Cooling Unlimited Contractor | 2010-09-01 ~ 2011-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Find all Licenses in zip 06611 |
City | TRUMBULL |
Zip Code | 06611 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + TRUMBULL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William Lorch · Bill Lorch Carpentry | 543 Al Harvey Rd, Stonington, CT 06378 | Home Improvement Contractor | 2019-09-04 ~ 2019-11-30 |
Emily Lorch | 56 Tunstall Rd, Scarsdale, NY 10583-6321 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Jason M Vogt Pa | 94 Pisgah Rd, Oxford, CT 06478 | Physician Assistant | 2014-08-01 ~ 2015-07-31 |
Jason D Milbert | 71 Starkweather St Fl 1, Manchester, CT 06042-3213 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
Jason S Pinho | 52 Wolf Pit Rd, Farmington, CT 06032-2438 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Jason R Fedak Pa | 21 Heritage Dr, New Milford, CT 06776 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Jason David Williams | 145 Pomfret St, Putnam, CT 06260-1803 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Jason M Loftus | 760 Barry St, Feeding Hills, MA 01030-1010 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Jason N Dacruz Pa | 31 Seymour Street, Hartford, CT 06106 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Jason P Kotula Pa | 286 Stonewell Dr, Saint Johns, FL 32259-8388 | Physician Assistant | 2018-08-01 ~ 2019-07-31 |
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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).