PHYLLIS R JARVIS MD (Credential# 542970) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2014. The license expiration date date is April 30, 2015. The license status is INACTIVE.
PHYLLIS R JARVIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019347. The credential type is physician/surgeon. The effective date is May 1, 2014. The expiration date is April 30, 2015. The business address is South Windsor, CT 06074-3811. The current status is inactive.
| Licensee Name | PHYLLIS R JARVIS MD |
| Credential ID | 542970 |
| Credential Number | 1.019347 |
| Credential Type | Physician/Surgeon |
| Business Address |
South Windsor CT 06074-3811 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1977-05-31 |
| Effective Date | 2014-05-01 |
| Expiration Date | 2015-04-30 |
| Refresh Date | 2015-08-03 |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-3811 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph E Peplau | 194 Bayberry Trl, South Windsor, CT 06074-3811 | Notary Public Appointment | 2019-12-01 ~ 2024-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTH WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wilbur Jarvis Md | 77 Third St F6, Stamford, CT 06905 | Physician/surgeon | 1998-10-22 ~ 1999-12-31 |
| James W Jarvis Md | Po Box 288, Arroyo Seco, NM 87514 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Wingrove T Jarvis | 261 Grimesville Road, Williamsport, PA 17701 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Peter A Jarvis | 152 Bayberry Trail, South Windsor, CT 06074 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Jarvis | 2970 Monticello Rd, Napa, CA 94558-9615 | Out of State Winery | ~ |
| Phyllis L Faust | 520 West 110th St, New York, NY 10025 | Physician/surgeon | ~ |
| Phyllis R. Vezza | 8 Ridge View Ct, Smithfield, RI 02917-2508 | Physician/surgeon | ~ |
| Phyllis L Schatz Md | 3 High Ledge Rd, Bloomfield, CT 06002-2112 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Phyllis A Holtzman | 1527 Rt 12, Gales Ferry, CT 06335 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Phyllis Owusu-griffin | 611 Moore St, Ludlow, MA 01056-1607 | Physician/surgeon | 2013-05-10 ~ 2013-11-30 |
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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).