ROGER W O'CONNELL JR
Physician Assistant


Address: 325 Cedar Ridge Drive, Glastonbury, CT 06033

ROGER W O'CONNELL JR (Credential# 742561) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

ROGER W O'CONNELL JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000812. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 325 Cedar Ridge Drive, Glastonbury, CT 06033. The current status is active.

Basic Information

Licensee Name ROGER W O'CONNELL JR
Credential ID 742561
Credential Number 23.000812
Credential Type Physician Assistant
Business Address 325 Cedar Ridge Drive
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-01-01
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-19

Other licenses

ID Credential Code Credential Type Issue Term Status
152634 CSP.0027419 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-01-06 2019-03-01 - 2021-02-28 ACTIVE
868734 70.951423 Emergency Medical Technician 1995-06-01 - 1997-09-30 INACTIVE

Office Location

Street Address 325 Cedar Ridge Drive
City Glastonbury
State CT
Zip Code 06033

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Abigail Lynn Hubbard 55 Brookview Drive, Glastonbury, CT 06033 Emergency Medical Technician ~
Maureen E Booth 36 Hubbard Run Drive, Glastonbury, CT 06033 Speech and Language Pathologist 2020-07-01 ~ 2021-06-30
Wendy B Johnson 1789 Main St, Glastonbury, CT 06033 Architect 2020-08-01 ~ 2021-07-31
Michael D Devanney Pa 28 Evergreen Ln, Glastonbury, CT 06033 Physician Assistant 2020-09-01 ~ 2021-08-31
Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Jennifer R Briones 90 Deerfield Drive, Glastonbury, CT 06033 Registered Nurse 2020-07-01 ~ 2021-06-30
Munson's Chocolates 135 Glastonbury Blvd, Glastonbury, CT 06033 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Yulhun Sung 245 Griswold St Unit A, Glastonbury, CT 06033 Combination Nail Technician, Esthetician Or Eyelash Technici ~
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Competitor

Search similar business entities

City Glastonbury
Zip Code 06033
License Type Physician Assistant
License Type + County Physician Assistant + Glastonbury

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Duncan C Connell Jr · D C Connell Jr Quality Construction P O Box 631, Wyoming, RI 02898 Home Improvement Contractor ~ 1995-08-01
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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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