JESSICA F ROSENTHAL (Credential# 742865) 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.
JESSICA F ROSENTHAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001116. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 14 Rose Ct, Providence, RI 02906-4637. The current status is active.
| Licensee Name | JESSICA F ROSENTHAL |
| Credential ID | 742865 |
| Credential Number | 23.001116 |
| Credential Type | Physician Assistant |
| Business Address |
14 Rose Ct Providence RI 02906-4637 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-10-30 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 871719 | 70.971040 | Emergency Medical Technician | 1997-08-01 | - 1999-09-30 | INACTIVE |
| Street Address | 14 ROSE CT |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-4637 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Stephen C. Rose Legacy Foundation · The Steve Fund | 138 Governor Street, Providence, RI 02906 | Public Charity | 2020-06-12 ~ 2021-11-30 |
| Moriah Connor | 211 Waterman Street, Unit 20, Providence, RI 02906 | Behavior Analyst | ~ |
| Elizabeth Burns | 198 Camp Street, Providence, RI 02906 | Licensed Clinical Social Worker | ~ |
| Christine Montross | 345 Blackstone Blvd, Providence, RI 02906 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Susan Dickstein | 196 Freeman Parkway, Providence, RI 02906 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Victoria S Karlsen | 415 Angell St, Providence, RI 02906 | Behavior Analyst | ~ |
| John W O'bell Md | 14 Rose Ct., Providence, RI 02906 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alexandria Hanul Simon | 323 Angell Street, Providence, RI 02906 | Emergency Medical Technician | ~ |
| Molly A Moran | 202 Sixth Street, Providence, RI 02906 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Simon M Cornelissen | 45 Balton Rd, Providence, RI 02906 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 02906 | |||
| City | PROVIDENCE |
| Zip Code | 02906 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Little | 875 E Main St, Meriden, CT 06450-6006 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Jessica Obrien | 5 Perryridge Rd, Greenwich, CT 06830 | Physician Assistant | ~ |
| Jessica R Albrycht | 12 Robin Rd, Glastonbury, CT 06033-3256 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jessica L Dematos | 26 Barry Ln, Windsor, CT 06095 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jessica Bria | 15 Meadowlawn Rd, Stratford, CT 06614-1523 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jessica A White Pa-c | 114 Woodland St, Hartford, CT 06105-1208 | Physician Assistant | 2014-06-01 ~ 2015-05-31 |
| Jessica M Gonzalez | 41 Maple Ave, Shelton, CT 06484-2129 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jessica H Fredeen | 1107 Ne 8th St, Bend, OR 97701-4472 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Jessica L White | Neuroscience Icu, New Haven, CT 06510-3220 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jessica A Macwilliams Pa | 35 Wisteria Ln, Suffield, CT 06078-2381 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).