JEANNINE L SMITH (Credential# 743844) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 29, 2009. The license expiration date date is May 31, 2010. The license status is INACTIVE.
JEANNINE L SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002095. The credential type is physician assistant. The effective date is July 29, 2009. The expiration date is May 31, 2010. The business address is 155 Sterling Drive, Newington, CT 06111. The current status is inactive.
| Licensee Name | JEANNINE L SMITH |
| Credential ID | 743844 |
| Credential Number | 23.002095 |
| Credential Type | Physician Assistant |
| Business Address |
155 Sterling Drive Newington CT 06111 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-05-01 |
| Effective Date | 2009-07-29 |
| Expiration Date | 2010-05-31 |
| Refresh Date | 2010-09-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 491409 | CSP.0042978 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 155 Sterling Drive |
| City | Newington |
| State | CT |
| Zip Code | 06111 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | Newington |
| Zip Code | 06111 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Newington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Delmar J Smith | 137-33 174 St, Jamaica, NY 11434 | Physician Assistant | 2011-08-25 ~ 2012-08-31 |
| Jeannine M Smith | 105 West Ave, Ludlow, MA 01056-2152 | Barber | 2018-11-01 ~ 2020-10-31 |
| Victoria K Smith Pa | 75 Railroad Ave Apt 2k, Milford, CT 06460-9206 | Physician Assistant | 2014-12-01 ~ 2015-11-30 |
| Alyson L Smith | Apt 3h/building 2, Norwalk, CT 06850 | Physician Assistant | 1997-04-02 ~ 1998-03-31 |
| Christopher S Brooks | 118 Smith St., Gardner, MA 01440 | Physician Assistant | 2008-03-17 ~ 2009-05-31 |
| Gabriella Smith Pa | 30 Oxford St, Hartford, CT 06105 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Karen M Smith | 349 Main Ave Apt 6, Norwalk, CT 06851-1589 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
| Laura M Smith | 20 York St, New Haven, CT 06510-3220 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kristine C. Correira | 37 Smith Rd, Charlton, MA 01507-1617 | Physician Assistant | 2016-05-01 ~ 2017-04-30 |
| Susanne Dk Smith | 622 Millers Way, Simsbury, CT 06070 | Physician Assistant | 2014-08-01 ~ 2015-07-31 |
Please comment or provide details below to improve the information on JEANNINE L SMITH.
| 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).