JESSICA H FREDEEN (Credential# 743789) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2014. The license expiration date date is March 31, 2015. The license status is INACTIVE.
JESSICA H FREDEEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002040. The credential type is physician assistant. The effective date is April 1, 2014. The expiration date is March 31, 2015. The business address is 1107 Ne 8th St, Bend, OR 97701-4472. The current status is inactive.
| Licensee Name | JESSICA H FREDEEN |
| Credential ID | 743789 |
| Credential Number | 23.002040 |
| Credential Type | Physician Assistant |
| Business Address |
1107 Ne 8th St Bend OR 97701-4472 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-12-03 |
| Effective Date | 2014-04-01 |
| Expiration Date | 2015-03-31 |
| Refresh Date | 2015-07-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 491415 | CSP.0042982 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-01-07 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 1107 NE 8TH ST |
| City | BEND |
| State | OR |
| Zip Code | 97701-4472 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer L Wright | 2639 Community Ln, Bend, OR 97701 | Registered Nurse | 2010-02-01 ~ 2011-01-31 |
| Kim D Mcghee | 1252 Nw Milwaukee, Bend, OR 97701 | Registered Nurse | ~ 1998-12-31 |
| Marilyn R Wood | 65040 Highland Rd, Bend, OR 97701 | Registered Nurse | 1992-05-27 ~ 1993-05-31 |
| Thu D Platko | 65130 97th Street, Bend, OR 97701 | Hairdresser/cosmetician | 2001-09-18 ~ 2002-10-31 |
| Stacy K Johnson | 898 Nw Riverside Blvd, Bend, OR 97701 | Registered Nurse | 2007-05-17 ~ 2008-05-31 |
| Mary M Flowers | 2243 Nw Reserve Camp Ct, Bend, OR 97701-2194 | Registered Nurse | 2013-09-01 ~ 2014-08-31 |
| Matthew A Landry | 255 Nw Sisemore St, Bend, OR 97701-2856 | Land Surveyor | 2012-02-01 ~ 2013-01-31 |
| Brescia L Marcoux | 403 Ne Dekalb Ave Apt 3, Bend, OR 97701-4958 | Dental Hygienist | 2012-06-01 ~ 2013-05-31 |
| Bendistillery · Bend Spirits | 19330 Pinehurst Rd, Bend, OR 97701-5282 | Out of State Shipper Liquor | 2010-06-26 ~ 2011-06-25 |
| Carly Olivia Frishkorn | 3355 Ne Crystal Springs Dr, Bend, OR 97701-7000 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| Find all Licenses in zip 97701 | |||
| City | BEND |
| Zip Code | 97701 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BEND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grace M Fredeen | 6055 35th Sw Apt 102, Seattle, WA 98126 | Occupational Therapist Assistant | ~ 1997-07-31 |
| Jessica Little | 875 E Main St, Meriden, CT 06450-6006 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Jessica Obrien | 5 Perryridge Rd, Greenwich, CT 06830 | Physician Assistant | ~ |
| Jessica L White | Neuroscience Icu, New Haven, CT 06510-3220 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jessica L Dematos | 26 Barry Ln, Windsor, CT 06095 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jessica F Rosenthal | 14 Rose Ct, Providence, RI 02906-4637 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jessica A Macwilliams Pa | 35 Wisteria Ln, Suffield, CT 06078-2381 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jessica Bria | 15 Meadowlawn Rd, Stratford, CT 06614-1523 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jessica R Albrycht | 12 Robin Rd, Glastonbury, CT 06033-3256 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jessica M Gonzalez | 41 Maple Ave, Shelton, CT 06484-2129 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on JESSICA H FREDEEN.
| 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).