JEFFREY CANTIN PA (Credential# 742534) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JEFFREY CANTIN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000785. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 86 Butternut Cir, Wethersfield, CT 06109-4001. The current status is active.
Licensee Name | JEFFREY CANTIN PA |
Credential ID | 742534 |
Credential Number | 23.000785 |
Credential Type | Physician Assistant |
Business Address |
86 Butternut Cir Wethersfield CT 06109-4001 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1998-12-18 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
209906 | CSP.0028081 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-04-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
840010 | 70.000274 | Emergency Medical Technician | 2000-04-06 | 2000-04-06 - 2001-12-31 | INACTIVE |
855475 | 70.850956 | Emergency Medical Technician | 1985-06-01 | - 1991-06-30 | INACTIVE |
Street Address | 86 BUTTERNUT CIR |
City | WETHERSFIELD |
State | CT |
Zip Code | 06109-4001 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alison H Russo | 44 Butternut Cir, Wethersfield, CT 06109-4001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Timothy F Lambrecht | 102 Butternut Cir, Wethersfield, CT 06109-4001 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
Jennifer K Vonick | 62 Butternut Cir, Wethersfield, CT 06109-4001 | Emergency Medical Technician | 2018-05-23 ~ 2019-03-31 |
Kass H Lambrecht | 102 Butternut Cir, Wethersfield, CT 06109-4001 | Heating, Piping & Cooling Limited Journeyperson | 2019-07-11 ~ 2020-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06109 |
City | WETHERSFIELD |
Zip Code | 06109 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WETHERSFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey M Hellman | 544 Whitney Ave, New Haven, CT 06511 | Physician Assistant | 2005-02-22 ~ 2006-03-31 |
Jeffrey D Midgley Pa | 191 Eastwood Dr, Seymour, CT 06483 | Physician Assistant | 2008-01-25 ~ 2009-03-31 |
Jeffrey M. Dabkowski Pa | 120 Plain Rd, South Deerfield, MA 01373-9741 | Physician Assistant | 2012-08-01 ~ 2013-07-31 |
Jeffrey A Moss Pa | 135 Abbe Rd, South Windsor, CT 06074 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Jeffrey Montano Pa | 48 Indian Hill Rd., Milford, CT 06460 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Jeffrey Heinrich Pa | Yale School of Medicine, New Haven, CT 06510 | Physician Assistant | 1997-12-16 ~ 1999-02-28 |
Jeffrey E Reut | 788 Kensington Rd, Kensington, CT 06037-3539 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
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 |
Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Matthew Cantin | 109 Oakridge, Unionville, CT 06085-1475 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
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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).