JENNIFER A BROOK (Credential# 890783) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JENNIFER A BROOK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002314. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 70 Litchfield Rd, Unionville, CT 06085-1318. The current status is active.
| Licensee Name | JENNIFER A BROOK |
| Credential ID | 890783 |
| Credential Number | 23.002314 |
| Credential Type | Physician Assistant |
| Business Address |
70 Litchfield Rd Unionville CT 06085-1318 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-09-04 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 898921 | CSP.0046818 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-10-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 70 LITCHFIELD RD |
| City | UNIONVILLE |
| State | CT |
| Zip Code | 06085-1318 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liane Montelius | 66 Litchfield Rd, Unionville, CT 06085-1318 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
| Deana B Bezilla | 82 Litchfield Rd, Unionville, CT 06085-1318 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Robert Frejlich | 78 Litchfield Rd, Unionville, CT 06085-1318 | Tattoo Technician | 2018-11-01 ~ 2020-10-31 |
| Varunkumar Bhattaram | 90 Litchfield Rd, Unionville, CT 06085-1318 | Pharmacy Intern | 2008-09-18 ~ 2012-09-30 |
| Damon M Jakobeit | 80 Litchfield Rd, Unionville, CT 06085-1318 | Asbestos Abatement Worker | 2011-02-14 ~ 2011-09-30 |
| M Squared Woodworking LLC | 66 Litchfield Rd, Unionville, CT 06085-1318 | Home Improvement Contractor | 2012-01-31 ~ 2012-11-30 |
| Sydney M Darling | 72 Litchfield Rd, Unionville, CT 06085-1318 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Taeshin Kim | 151 Coppermine Rd., United States, CT 06085 | Nail Technician | ~ |
| Fuzzy's Foam LLC · Fuzzy's Foam Insulation | 65 Forest St, Unionville, CT 06085 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Darlene L Redman | 97 A Perry Street, Unionville, CT 06085 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Morgan M Marshall | 540 Plainville Ave, Unionville, CT 06085 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Oxyair Medical LLC | P.o. Box 471, Unionville, CT 06085 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sara R Stevenson | 4 Aztec Trail, Unionville, CT 06085 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Rupalini Rawal-dhingra | 12 Newcastle Place, Unionville, CT 06085 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Julian I D Mashkovich | 424 Plainville Ave, Unionville, CT 06085 | Emergency Medical Technician | ~ |
| Daniel C Boyd | 46 Woodside Dr, Farmington, CT 06085 | Optician | 2020-09-01 ~ 2021-08-31 |
| Stephanie Caminiti Aprn | 16 Mals Way, Unionville, CT 06085 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06085 | |||
| City | UNIONVILLE |
| Zip Code | 06085 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + UNIONVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Michaud | 104 Buckeye Brook Rd, Charlestown, RI 02813-2734 | Physical Therapist Assistant | 2019-10-04 ~ 2020-08-31 |
| Jennifer Wolfman | 47-33 245th St, Douglaston, NY 11362 | Physician Assistant | ~ |
| Jennifer O Tschorn | 171 Bedford Rd, Katonah, NY 10536-2308 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Jennifer Kowalczuk | 235 S Orchard St, Wallingford, CT 06492-4521 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jennifer Kokalari Pa | 71 Applewood Rd, Branford, CT 06405-6104 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jennifer H Hardy Pa | 86 Rimmon Rd, Woodbridge, CT 06525 | Physician Assistant | 2002-09-09 ~ 2003-09-30 |
| Jennifer A Clauss | 20 York St, New Haven, CT 06510 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jennifer R Lachance Pa | 7 Palmer Dr, Meriden, CT 06450-7078 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Jennifer Giacobbe | 583 Davenport Ave, New Rochelle, NY 10805-2119 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jennifer A Platt | 4264 4th Ave S, Birmingham, AL 35222-2727 | Physician Assistant | 2016-02-09 ~ 2016-10-31 |
Please comment or provide details below to improve the information on JENNIFER A BROOK.
| 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).