DENISE M JOHNSON PA (Credential# 743168) 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.
DENISE M JOHNSON PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001419. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 16 Orchard Drive, Uncasville, CT 06382. The current status is active.
| Licensee Name | DENISE M JOHNSON PA |
| Credential ID | 743168 |
| Credential Number | 23.001419 |
| Credential Type | Physician Assistant |
| Business Address |
16 Orchard Drive Uncasville CT 06382 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-10-28 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 353846 | CSP.0034327 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-11-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 16 ORCHARD DRIVE |
| City | UNCASVILLE |
| State | CT |
| Zip Code | 06382 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip B Prior | 16 Orchard Drive, Uncasville, CT 06382 | Notary Public Appointment | 1973-04-01 ~ 1978-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Regina A Strand Od | 2020 Route 32, Uncasville, CT 06382 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Heather Laithwaite Couch | 94 Richard Brown Drive, Uncasville, CT 06382 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Karissa D. Farmer | 88 Park Ave, Uncasville, CT 06382 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ashley Vitale | 29 Carol Drive, Uncasville, CT 06382 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michele T. Lemieux | 32 Podurgiel Lane, Uncasville, CT 06382 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelica R Royer | 64 Fort Shantok Rd, Uncasville, CT 06382 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Thomas C Peter Md | 88 Norwich-new London Tpke, Uncasville, CT 06382 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Herb's Country Store | 1115 Norwich-new London Tpke, Uncasville, CT 06382 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sharon M Leone | 26 Marcia Drive, Uncasville, CT 06382 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Jiang M Han | 114 B Woodland Dr, Uncasville, CT 06382 | Casino Class I Employee | 2019-12-03 ~ 2020-03-09 |
| Find all Licenses in zip 06382 | |||
| City | UNCASVILLE |
| Zip Code | 06382 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + UNCASVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Denise L Wilbert | 204 Grove St, Hanover, MA 02339-2111 | Physician Assistant | 2017-08-01 ~ 2018-07-31 |
| Denise L Fitzgerald | 67 Hartford Ave, Newington, CT 06111-2025 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Denise M Engrassia | 42 Craig Pl, Islip Terrace, NY 11752-1904 | Physician Assistant | 2020-04-01 ~ 2020-09-30 |
| Denise E Chang Pa | 57 Summary Street, Meriden, CT 06451 | Physician Assistant | 2001-06-11 ~ 2002-06-30 |
| Denise Filosi Pa | 15 Cow Pen Hill Road, Killingworth, CT 06419 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Denise E Cologne Pa | 98 Country View Dr, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lauren Johnson | 9356 Nw 8th Circle, Plantation, FL 33324 | Physician Assistant | ~ |
| Alison C Johnson | 130 Vining Hill Rd, Southwick, MA 01077-9413 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Sharon M Johnson | 42 Bradford Walk, Farmington, CT 06032-4530 | Physician Assistant | 2013-06-01 ~ 2014-05-31 |
| Guerlande Louis | 10 25 Reynolds Road, Johnson, NY 13790 | Physician Assistant | 2017-12-01 ~ 2018-11-30 |
Please comment or provide details below to improve the information on DENISE M JOHNSON PA.
| 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).