JILL W GULLIFORD (Credential# 742522) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JILL W GULLIFORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000773. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 763 N Greenbrier Dr, Orange, CT 06477-2712. The current status is active.
| Licensee Name | JILL W GULLIFORD |
| Credential ID | 742522 |
| Credential Number | 23.000773 |
| Credential Type | Physician Assistant |
| Business Address |
763 N Greenbrier Dr Orange CT 06477-2712 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-10-09 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 205070 | CSP.0027726 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 763 N GREENBRIER DR |
| City | ORANGE |
| State | CT |
| Zip Code | 06477-2712 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen V Ruge | 823 N Greenbrier Dr, Orange, CT 06477-2712 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Patrick F Mcdonald | 709 N Greenbrier Dr, Orange, CT 06477-2712 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
| Thomas E Voccola | 757 N Greenbrier Dr, Orange, CT 06477-2712 | Plumbing & Piping Unlimited Journeyperson | 2019-11-01 ~ 2020-10-31 |
| Louisa E Tramontano | 705 N Greenbrier Dr, Orange, CT 06477-2712 | Licensed Clinical Social Worker | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rakesh H Patel Md | 596 Cedar Grove, Orange, CT 06477 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John D Mainwaring Dds | 240 Indian River Rd, Suite A7, Orange, CT 06477 | Dentist | 2020-08-01 ~ 2021-07-31 |
| Hea Sun Kwak | 477 Howellton Rd, Orange, CT 06477 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-08-31 |
| Munsons Candy Kitchen Inc | 109 Boston Post Rd, Orange, CT 06477 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Takashi Yoshikawa | 151 Old Tavern Road, Orange, CT 06477 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Yam Wong | 21 Country Club Close, Orange, CT 06477 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Shitong Liu | 519 Boston Post Rd Orange, Orange, CT 06477 | Nail Technician | ~ |
| Robert A Lamparski | Po B0x# 1183, Orange, CT 06477 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rolando R Lopez | 22 Tyler City Rd, Orange, CT 06477 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lisa Courtney | 470 Locust Drive, Orange, CT 06477 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06477 | |||
| City | ORANGE |
| Zip Code | 06477 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + ORANGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jill M Geoffrion | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician Assistant | 2020-05-18 ~ 2020-12-31 |
| Jill M Sullivan | 142 Bellridge Rd, Glastonbury, CT 06033-1462 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jill Aboulian Pa | 21 Lyle Dr, Madison, CT 06443-1897 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jill M Finnegan | 79 Dunn Avenue, Stamford, CT 06905 | Physician Assistant | 1994-03-04 ~ 1995-02-28 |
| Jill L Garland Pa | 98 Althea Rd, North Falmouth, MA 02556-3115 | Physician Assistant | 2017-06-01 ~ 2018-05-31 |
| Jill K Martinez | 250 Nimham Road, Carmel, NY 10512 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jill L Schreiber | 221 East 23rd Street, New York, NY 10010 | Physician Assistant | 2001-07-23 ~ 2002-04-30 |
| Jill A Duggan | 3239 Poplar St, Yorktown Heights, NY 10598-2621 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Jill Lageman | 1933 Sheyenne St Unit D, West Fargo, ND 58078-2684 | Physician Assistant | 2016-09-01 ~ 2017-08-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
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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).