JORDIN D MAROUSIS PA-C (Credential# 968908) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JORDIN D MAROUSIS PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002508. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 207 Oak Street, East Hartford, CT 06118. The current status is active.
| Licensee Name | JORDIN D MAROUSIS PA-C |
| Credential ID | 968908 |
| Credential Number | 23.002508 |
| Credential Type | Physician Assistant |
| Business Address |
207 Oak Street East Hartford CT 06118 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-10-21 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 974075 | CSP.0049296 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-11-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 207 Oak Street |
| City | East Hartford |
| State | CT |
| Zip Code | 06118 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hiep Thanh Nguyen | 65 Cloverdale Dr, East Hartford, CT 06118 | Nail Technician | 2020-06-26 ~ 2021-11-30 |
| Andrene Bennett | 34 Lanham Drive, East Hartford, CT 06118 | Medication Administration Certification | 2018-07-24 ~ 2020-07-23 |
| Jennifer L Smith | 399 Hills Street, East Hartford, CT 06118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Allisia Nicole Green | 75 Rowland Drive, East Hartford, CT 06118 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Jason Paul Cianci | 3 Roxbury Rd, East Hartford, CT 06118 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
| Laura E Lopez | 650 Forbes St, East Hartford, CT 06118 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dennis Frimpong-manso | 72 Primrose Drive, East Hartford, CT 06118 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Tabitha L Harris | 31 High Street #7204, East Hartford, CT 06118 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kaitlyn Kaminski | 473 Hills Street, East Hartford, CT 06118 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Francisca Quainoo | 93 Deborah Drive, East Hartford, CT 06118 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Find all Licenses in zip 06118 | |||
| City | East Hartford |
| Zip Code | 06118 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + East Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jordin Unoaked Chardonnay | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | ~ |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Jordin L Longo | 119 Goldberg Rd, Colchester, CT 06415-2169 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Jordin K Driscoll | 51 Oakwood Rd, Manchester, CT 06042-3207 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Jordin L Corriveau | 135 Babcock Tavern Rd, Ware, MA 01082-9487 | Pharmacy Intern | 2015-09-30 ~ 2019-09-30 |
| Jordin L Murphy | 753 Elm Street, Rocky Hill, CT 06067 | Hairdresser/cosmetician | 2006-04-19 ~ 2008-01-31 |
| Jordin Michelle Frasch | 50 W. 72nd St., New York, NY 10023 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Jordin Walker | 19 Chippanee Dr, Bristol, CT 06010 | Master's Level Social Worker | 2019-07-01 ~ 2020-06-30 |
| Jordin Soler | 99 Winsted Rd., Torrington, CT 06790 | Medication Administration Certification | 2018-01-06 ~ 2020-01-05 |
| Jordin Fazzina | 166 Farrows Street, Putnam, CT 06260 | Medication Administration Certification | 2019-09-06 ~ 2021-09-05 |
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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).