VICTORIA K SMITH PA (Credential# 1035700) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2014. The license expiration date date is November 30, 2015. The license status is INACTIVE.
VICTORIA K SMITH PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002666. The credential type is physician assistant. The effective date is December 1, 2014. The expiration date is November 30, 2015. The business address is 75 Railroad Ave Apt 2k, Milford, CT 06460-9206. The current status is inactive.
Licensee Name | VICTORIA K SMITH PA |
Credential ID | 1035700 |
Credential Number | 23.002666 |
Credential Type | Physician Assistant |
Business Address |
75 Railroad Ave Apt 2k Milford CT 06460-9206 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2011-10-04 |
Effective Date | 2014-12-01 |
Expiration Date | 2015-11-30 |
Refresh Date | 2016-03-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1039304 | CSP.0051617 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-11-02 | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 75 RAILROAD AVE APT 2K |
City | MILFORD |
State | CT |
Zip Code | 06460-9206 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrew Black | 75 Railroad Ave Apt 2e, Milford, CT 06460-9206 | Engineer-in-training | 2017-08-15 ~ 2027-08-15 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Find all Licenses in zip 06460 |
City | MILFORD |
Zip Code | 06460 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + MILFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Victoria Verrengia | 66 Montgomery Dr, Plymouth, MA 02360-5268 | Physician Assistant | ~ |
Victoria P Furnelli Pa | 104 Hillcrest Ave, Longmeadow, MA 01106 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Victoria M Sullivan | 93 Lacey Rd, Bethany, CT 06524-3021 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Emily Warden | 137 Victoria Dr, Madison, AL 35758 | Physician Assistant | 2017-04-03 ~ 2018-04-30 |
Teresa A Thetford Pa-c | 70 Victoria Lawn, Stratford, CT 06615-7849 | Physician Assistant | 2019-02-01 ~ 2020-01-31 |
Victoria L Maxwell Pa | 823 Williams Street, Pittsfield, MA 01201 | Physician Assistant | 2003-07-01 ~ 2004-06-30 |
Katherine Victoria Salvador | 32 Fairfax Ave, West Hartford, CT 06119-2003 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Victoria Dunn | 8823 July Creek Cir, Eagle River, AK 99577-8557 | Physician Assistant | ~ |
Victoria C Smith | 6735 South Crocker Way, Littleton, CO 80120 | Physician/surgeon | 2005-06-27 ~ 2006-06-30 |
Ann Victoria Bauchiero | 316 North Grand Street, West Suffield, CT 06093 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
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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).