JARED POTTS (Credential# 2046793) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
JARED POTTS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065757-RES. The credential type is resident physician. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353. The current status is active.
| Licensee Name | JARED POTTS |
| Credential ID | 2046793 |
| Credential Number | 1.065757-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
195 Eastern Blvd Ste 200 Glastonbury CT 06033-4353 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-08-01 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2014085 | 1.065200 | Physician/Surgeon | 2020-04-13 | 2020-04-13 - 2021-03-31 | ACTIVE |
| 2036886 | CSP.0073743 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-04-21 | 2020-04-21 - 2021-02-28 | ACTIVE |
| Street Address | 195 EASTERN BLVD STE 200 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4353 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela M Wilson | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| H Kirk Watson | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Christopher Michael Mccarthy | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jill Putnam | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | Controlled Substance Registration for Practitioner | 2020-03-31 ~ 2021-02-28 |
| Benjamin Michael Robichaux | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Duffield Ashmead | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ravi Viradia | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roxanne T Dunwoody | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Deborah Pankonin | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Occupational Therapist | 2017-08-01 ~ 2019-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jared Levine Moreines | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jared Matthew Miller | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jared Jeffrey Woodward | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jared Donald Thomas | 380 Mather St Apt 4404, Hamden, CT 06514-3164 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jared M Kozal | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
| Koreen K. Potts | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Amanda Nicole Potts | 78 Laning Street, Southington, CT 06489 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Bleasdale Frank Potts Red | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2008-08-06 ~ 2011-08-05 |
| Jared M Chviek · Just Call Jared | 30 Fairgrounds Rd, Brooklyn, CT 06234-1704 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Jared R Silva · Jared's Packy | 129 Ocean Ave, New London, CT 06320 | Package Store Liquor | 2007-02-28 ~ 2008-02-27 |
Please comment or provide details below to improve the information on JARED POTTS.
| 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).