JASON M VOGT PA
Physician Assistant


Address: 94 Pisgah Rd, Oxford, CT 06478

JASON M VOGT PA (Credential# 743398) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2014. The license expiration date date is July 31, 2015. The license status is INACTIVE.

Business Overview

JASON M VOGT PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001649. The credential type is physician assistant. The effective date is August 1, 2014. The expiration date is July 31, 2015. The business address is 94 Pisgah Rd, Oxford, CT 06478. The current status is inactive.

Basic Information

Licensee Name JASON M VOGT PA
Credential ID 743398
Credential Number 23.001649
Credential Type Physician Assistant
Business Address 94 Pisgah Rd
Oxford
CT 06478
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-07-18
Effective Date 2014-08-01
Expiration Date 2015-07-31
Refresh Date 2015-11-10

Other licenses

ID Credential Code Credential Type Issue Term Status
413203 CSP.0038016 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-08-10 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 94 PISGAH RD
City OXFORD
State CT
Zip Code 06478

Licenses in the same zip code

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Robin M Michalak 5 Macintosh Drive, Oxford, CT 06478 Registered Nurse 2020-08-01 ~ 2021-07-31
Robin M Ambrosio 3 Lolly Lane, Oxford, CT 06478 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Hoon Jeon 312 Oxford Rd, Oxford, CT 06478 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-26 ~ 2022-01-31
Jacqueline R Sanz Pa 221 Goodhill Rd, Oxford, CT 06478 Dietitian/nutritionist 2020-09-01 ~ 2021-08-31
Sharon A Ritton-holly · Mcgowan 5 Evergreen Lane, Oxford, CT 06478 Radiographer 2020-07-01 ~ 2021-06-30
Anna B Valko 6 Jem Woods Road, Oxford, CT 06478 Notary Public Appointment 2020-09-01 ~ 2025-08-31
Southbury Baking Company LLC 83 Prokop Road, Oxford, CT 06478 Bakery 2020-07-01 ~ 2021-06-30
Leanne C Hovhannissian 25 Belinsky Circle, Oxford, CT 06478 Registered Nurse 2020-07-01 ~ 2021-06-30
Andy Petitti 5 Benson Road, Oxford, CT 06478 Cross Connection Survey Inspector 2020-04-01 ~ 2023-03-31
Lynn Ann Wilkison 6 Silano Drive, Oxford, CT 06478 Notary Public Appointment 2020-06-01 ~ 2025-05-31
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Competitor

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City OXFORD
Zip Code 06478
License Type Physician Assistant
License Type + County Physician Assistant + OXFORD

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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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