STACEY R BURNS (Credential# 1027838) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
STACEY R BURNS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002633. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 19 Crestwood Rd, Simsbury, CT 06070. The current status is active.
| Licensee Name | STACEY R BURNS |
| Credential ID | 1027838 |
| Credential Number | 23.002633 |
| Credential Type | Physician Assistant |
| Business Address |
19 Crestwood Rd Simsbury CT 06070 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-09-09 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1033557 | CSP.0051416 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-09-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 848214 | 70.008481 | Emergency Medical Technician | 2007-05-23 | 2011-04-02 - 2011-03-31 | INACTIVE |
| Street Address | 19 Crestwood Rd |
| City | Simsbury |
| State | CT |
| Zip Code | 06070 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew Burns | 19 Crestwood Rd, Simsbury, CT 06070-1731 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | Simsbury |
| Zip Code | 06070 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Simsbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacey Rydzewska | 421 S End Rd, Plantsville, CT 06479 | Physician Assistant | ~ |
| Stacey Cleveland | 326 Pine Brook Rd, Bedford, NY 10506 | Physician Assistant | ~ |
| Adrienne Burns Pa | 60 Wilmot Road, Hamden, CT 06514-4300 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Stacey M Krasnoff | 1082 Ferngate Dr, Franklin Square, NY 11010-1808 | Physician Assistant | ~ |
| Stacey L Panasci | 72 N Circle Dr, East Longmeadow, MA 01028-1345 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kenneth A Burns · Burns Construction Co Inc | 7 Sunset Drive, Shelton, CT 06484 | Home Improvement Contractor | 1996-07-01 ~ 1997-11-30 |
| Arthur Burns · Burns Restaurant | 1561 Thomaston Avenue, Waterbury, CT 06704 | Cafe Liquor | 2003-12-10 ~ 2004-12-09 |
| Lisa L Burns | 3 Madison Dr, Newtown, CT 06470-2014 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Cheryl Burns | 29 Russett Ln, Middletown, CT 06457-5836 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Stacey G Heenie | 60 Wallace Row, Wallingford, CT 06492 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
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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).