DANIELLE JUSTINE TARBELL
Physician Assistant


Address: 133 Edstrom Road, Marlborough, CT 06447

DANIELLE JUSTINE TARBELL (Credential# 743917) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

DANIELLE JUSTINE TARBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002168. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 133 Edstrom Road, Marlborough, CT 06447. The current status is active.

Basic Information

Licensee Name DANIELLE JUSTINE TARBELL
Credential ID 743917
Credential Number 23.002168
Credential Type Physician Assistant
Business Address 133 Edstrom Road
Marlborough
CT 06447
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2008-09-22
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-01-13

Other licenses

ID Credential Code Credential Type Issue Term Status
515607 CSP.0044663 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-10-06 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 133 EDSTROM ROAD
City MARLBOROUGH
State CT
Zip Code 06447

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Linda T Nachtigal Dvm 86 Saner Road, Marlborough, CT 06447 Veterinarian 2020-07-01 ~ 2021-06-30
Victoria Demari Cartagena 113 Hebron Road, Marlborough, CT 06447 Registered Nurse 2020-07-01 ~ 2021-06-30
Christina L Abrahamson · Lonergan 47 South Stonybrook Drive, Marlborough, CT 06447 Dental Hygienist 2020-08-01 ~ 2021-07-31
Bozena M Michalski · Marcowka 18 Portland Rd, Marlborough, CT 06447 Registered Nurse 2020-08-01 ~ 2021-07-31
Benedict C Valentine II 8 Independence Drive, Marlborough, CT 06447 Podiatrist 2020-06-01 ~ 2021-05-31
Nicolette M Banbury 21 Cheney Road, Marlborough, CT 06447 Professional Counselor 2020-09-01 ~ 2021-08-31
Lynn E Wohlfert 117 North Main Street, Marlborough, CT 06447 Notary Public Appointment 2020-10-01 ~ 2025-09-30
Jo-ellen D Beam 120 Edstrom Rd, Marlborough, CT 06447 Registered Nurse 2020-07-01 ~ 2021-06-30
Kevin J Pease 82 South Main St, Marlborough, CT 06447 Licensed Practical Nurse 2020-08-01 ~ 2021-07-31
Lea L Lee 38 Keirstead Circle, Marlborough, CT 06447 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City MARLBOROUGH
Zip Code 06447
License Type Physician Assistant
License Type + County Physician Assistant + MARLBOROUGH

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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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