JONATHAN M HALASAN
Physician Assistant


Address: 135 Rolling Green, Middletown, CT 06457

JONATHAN M HALASAN (Credential# 743399) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2010. The license expiration date date is June 30, 2011. The license status is INACTIVE.

Business Overview

JONATHAN M HALASAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001650. The credential type is physician assistant. The effective date is July 1, 2010. The expiration date is June 30, 2011. The business address is 135 Rolling Green, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name JONATHAN M HALASAN
Credential ID 743399
Credential Number 23.001650
Credential Type Physician Assistant
Business Address 135 Rolling Green
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-07-18
Effective Date 2010-07-01
Expiration Date 2011-06-30
Refresh Date 2011-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
650498 10.R50751 Registered Nurse 1995-02-10 2007-05-29 - 2008-06-30 INACTIVE
416461 CSP.0038337 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-09-19 2006-03-01 - 2007-02-28 INACTIVE

Office Location

Street Address 135 ROLLING GREEN
City Middletown
State CT
Zip Code 06457

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Jerick C De Los Cientos 135 Rolling Green, Middletown, CT 06457 Radiographer 2019-11-01 ~ 2020-10-31

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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
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Competitor

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City Middletown
Zip Code 06457
License Type Physician Assistant
License Type + County Physician Assistant + Middletown

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Jonathan E Silver Pa 367 Summit Ave, Mt Vernon, NY 10552 Physician Assistant 2006-04-05 ~ 2007-05-31
Carol Guinevere Halasan 263 Farmington Avenue, Farmington, CT 06030-1921 Resident Physician 2016-06-28 ~ 2019-06-30
Physician Assistant Foundation of The American Academy of Physician Assistants 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 Public Charity 2019-12-01 ~ 2020-11-30
Sarah May H De Los Cientos · Halasan 135 Rolling Green Rd, Middletown, CT 06457 Registered Nurse 2020-06-01 ~ 2021-05-31
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Theresa V Horvath Physiican Assistant Institute, Bridgeport, CT 06604 Physician Assistant 2018-10-01 ~ 2019-09-30
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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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