JENNIFER KRESGE PA (Credential# 742368) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 8, 2002. The license expiration date date is August 31, 2003. The license status is INACTIVE.
JENNIFER KRESGE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000619. The credential type is physician assistant. The effective date is October 8, 2002. The expiration date is August 31, 2003. The business address is Mansfield Professional Park, Storrs, CT 06268. The current status is inactive.
| Licensee Name | JENNIFER KRESGE PA |
| Credential ID | 742368 |
| Credential Number | 23.000619 |
| Credential Type | Physician Assistant |
| Business Address |
Mansfield Professional Park Storrs CT 06268 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-01-10 |
| Effective Date | 2002-10-08 |
| Expiration Date | 2003-08-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 47569 | CSP.0025058 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
| Street Address | MANSFIELD PROFESSIONAL PARK |
| City | STORRS |
| State | CT |
| Zip Code | 06268 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | STORRS |
| Zip Code | 06268 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STORRS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew J Kresge | 4 Maryland Court, Rexford, NY 12148 | Physician Assistant | 2005-08-17 ~ 2006-09-30 |
| Hal Kresge Foundation | Po Box 349, Broad Brook, CT 06016-0349 | Public Charity-exempt From Financial Requirements | ~ |
| Kresge Lebar Drug & Surgical | 425 Main Street, Stroudsburg, PA 18360 | Nonresident Pharmacy | 2010-09-08 ~ 2011-08-31 |
| Kresge Lebar Drug & Surgical | 425 Main St, Stroudsburg, PA 18360-2462 | Nonresident Pharmacy | 2012-07-09 ~ 2013-08-31 |
| Jennifer Wolfman | 47-33 245th St, Douglaston, NY 11362 | Physician Assistant | ~ |
| Jennifer Giacobbe | 583 Davenport Ave, New Rochelle, NY 10805-2119 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jennifer Kokalari Pa | 71 Applewood Rd, Branford, CT 06405-6104 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jennifer M Schloth | 336 E 18th St Apt 1a, New York, NY 10003-0610 | Physician Assistant | 2017-08-23 ~ 2018-08-31 |
| Jennifer Kowalczuk | 235 S Orchard St, Wallingford, CT 06492-4521 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jennifer O Tschorn | 171 Bedford Rd, Katonah, NY 10536-2308 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
Please comment or provide details below to improve the information on JENNIFER KRESGE PA.
| 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).