JENNIFER M SUMOSKY PA (Credential# 743184) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 17, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.
JENNIFER M SUMOSKY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001435. The credential type is physician assistant. The effective date is February 17, 2004. The expiration date is April 30, 2005. The business address is 520 Saybrook Road, Middletown, CT 06457. The current status is inactive.
| Licensee Name | JENNIFER M SUMOSKY PA |
| Credential ID | 743184 |
| Credential Number | 23.001435 |
| Credential Type | Physician Assistant |
| Business Address |
520 Saybrook Road Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-12-08 |
| Effective Date | 2004-02-17 |
| Expiration Date | 2005-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 355247 | CSP.0034344 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-01-21 - 2005-02-28 | INACTIVE |
| Street Address | 520 SAYBROOK ROAD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wayne Franco | 520 Saybrook Road, Middletown, CT 06457 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Elizabeth G Barrera | 520 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-08-27 ~ 2021-02-28 |
| May S Habboosh Md | 520 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward G Myer | 520 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Wolfman | 47-33 245th St, Douglaston, NY 11362 | Physician Assistant | ~ |
| Jennifer A Brook | 70 Litchfield Rd, Unionville, CT 06085-1318 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jennifer A Platt | 4264 4th Ave S, Birmingham, AL 35222-2727 | Physician Assistant | 2016-02-09 ~ 2016-10-31 |
| Jennifer A Clauss | 20 York St, New Haven, CT 06510 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jennifer O Tschorn | 171 Bedford Rd, Katonah, NY 10536-2308 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Jennifer M Schloth | 336 E 18th St Apt 1a, New York, NY 10003-0610 | Physician Assistant | 2017-08-23 ~ 2018-08-31 |
| Jennifer L Irving | 28 Magnolia St., Norwalk, CT 06850 | Physician Assistant | 2009-01-13 ~ 2010-01-31 |
| Jennifer R Lachance Pa | 7 Palmer Dr, Meriden, CT 06450-7078 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Jennifer Kowalczuk | 235 S Orchard St, Wallingford, CT 06492-4521 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jennifer Kokalari Pa | 71 Applewood Rd, Branford, CT 06405-6104 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on JENNIFER M SUMOSKY 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).