JENNIFER H HARDY PA
Physician Assistant


Address: 86 Rimmon Rd, Woodbridge, CT 06525

JENNIFER H HARDY PA (Credential# 742359) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 9, 2002. The license expiration date date is September 30, 2003. The license status is INACTIVE.

Business Overview

JENNIFER H HARDY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000610. The credential type is physician assistant. The effective date is September 9, 2002. The expiration date is September 30, 2003. The business address is 86 Rimmon Rd, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name JENNIFER H HARDY PA
Credential ID 742359
Credential Number 23.000610
Credential Type Physician Assistant
Business Address 86 Rimmon Rd
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-01-03
Effective Date 2002-09-09
Expiration Date 2003-09-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
44542 CSP.0025117 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-03-01 - 2003-02-28 INACTIVE

Office Location

Street Address 86 RIMMON RD
City WOODBRIDGE
State CT
Zip Code 06525

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Cara A Laub 86 Rimmon Rd, Woodbridge, CT 06525-2004 Hairdresser/cosmetician 2018-08-01 ~ 2020-07-31

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Robert I Tucker 15 Research Drive, Woodbridge, CT 06525 Architect 2020-08-01 ~ 2021-07-31
Amity Brick Oven Pizza Inc · Joseph R Sarno 142 Amity Rd, New Haven, CT 06525 Bakery 2020-07-01 ~ 2021-06-30
Linda A Starace-colabella 895 Baldwin Rd, Woodbridge, CT 06525 Physician/surgeon 2020-08-01 ~ 2021-07-31
Patricia A Kenyon · Leskow 8 Maple Terrace, Woodbridge, CT 06525 Registered Nurse 2020-09-01 ~ 2021-08-31
Marianne L Dexter 37 Acorn Hill Rd, Woodbridge, CT 06525 Registered Nurse 2020-08-01 ~ 2021-07-31
Debra G Wayne 94 Maple Vale Drive, Woodbridge, CT 06525 Psychologist 2020-09-01 ~ 2021-08-31
Timothy Michael Carney 1119 Racebrook Road, Woodbridge, CT 06525 Emergency Medical Technician 2016-08-19 ~ 2020-03-31
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Competitor

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City WOODBRIDGE
Zip Code 06525
License Type Physician Assistant
License Type + County Physician Assistant + WOODBRIDGE

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Dataset Information

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).

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