JENNIFER LYNNE WALZ (Credential# 742667) 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.
JENNIFER LYNNE WALZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000918. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 284 Guinevere Ridge, Cheshire, CT 06410. The current status is active.
| Licensee Name | JENNIFER LYNNE WALZ |
| Credential ID | 742667 |
| Credential Number | 23.000918 |
| Credential Type | Physician Assistant |
| Business Address |
284 Guinevere Ridge Cheshire CT 06410 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-01-07 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 229973 | CSP.0029197 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-01-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 284 Guinevere Ridge |
| City | Cheshire |
| State | CT |
| Zip Code | 06410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | Cheshire |
| Zip Code | 06410 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Cheshire |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Walz Inc | 35 Old Doansburg Rd, Brewster, NY 10509-3602 | Home Improvement Contractor | 2019-12-09 ~ 2020-11-30 |
| Lynne Mary Meccariello | 75 Walton Avenue, White Plains, NY 10606 | Physician Assistant | ~ |
| Andrea Lynne Grammatico | 10 Stoney Brook Rd, Wallingford, CT 06492-2759 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Melanie Lynne Rasmus | 225 Wiese Albert Rd, Higganum, CT 06441-4040 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
| Teresa Lynne Slager | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Jennifer Wolfman | 47-33 245th St, Douglaston, NY 11362 | Physician Assistant | ~ |
| Jennifer H Hardy Pa | 86 Rimmon Rd, Woodbridge, CT 06525 | Physician Assistant | 2002-09-09 ~ 2003-09-30 |
| Jennifer M Schloth | 336 E 18th St Apt 1a, New York, NY 10003-0610 | Physician Assistant | 2017-08-23 ~ 2018-08-31 |
| Jennifer R Lachance Pa | 7 Palmer Dr, Meriden, CT 06450-7078 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Jennifer A Clauss | 20 York St, New Haven, CT 06510 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on JENNIFER LYNNE WALZ.
| 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).