JASON N DACRUZ PA (Credential# 743696) 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.
JASON N DACRUZ PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001947. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 31 Seymour Street, Hartford, CT 06106. The current status is active.
| Licensee Name | JASON N DACRUZ PA |
| Credential ID | 743696 |
| Credential Number | 23.001947 |
| Credential Type | Physician Assistant |
| Business Address |
31 Seymour Street Hartford CT 06106 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-08-15 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 484169 | CSP.0042681 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-10-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 31 SEYMOUR STREET |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Shekhman Md | 31 Seymour Street, Hartford, CT 06106 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| James K Ware | 31 Seymour Street, Hartford, CT 06106 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Burton Md | 31 Seymour Street, Hartford, CT 06106 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John A Magaldi Md | 31 Seymour Street, Hartford, CT 06106 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ross A Benthien | 31 Seymour Street, Hartford, CT 06106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Hanbing Zhou | 31 Seymour Street, Hartford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel K Witmer | 31 Seymour Street, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa Ruth Goclowski | 31 Seymour Street, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael A Miranda | 31 Seymour Street, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Clifford G Rios Md | 31 Seymour Street, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | HARTFORD |
| Zip Code | 06106 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emanuela Natasha Dacruz | 56 Treeland Road, Shelton, CT 06484 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Jason M Vogt Pa | 94 Pisgah Rd, Oxford, CT 06478 | Physician Assistant | 2014-08-01 ~ 2015-07-31 |
| Jason R Fedak Pa | 21 Heritage Dr, New Milford, CT 06776 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jason S Pinho | 52 Wolf Pit Rd, Farmington, CT 06032-2438 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jason D Milbert | 71 Starkweather St Fl 1, Manchester, CT 06042-3213 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
| Jason M Lorch | 22 Woodhill Rd, Trumbull, CT 06611-3356 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Antonio Dacruz · Dacruz Home Improvement | 4 High Acres Rd, Ansonia, CT 06401 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Jason David Williams | 145 Pomfret St, Putnam, CT 06260-1803 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jason P Kotula Pa | 286 Stonewell Dr, Saint Johns, FL 32259-8388 | Physician Assistant | 2018-08-01 ~ 2019-07-31 |
| Jason M Loftus | 760 Barry St, Feeding Hills, MA 01030-1010 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
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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).