ERIN R ANDERSON (Credential# 1039198) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
ERIN R ANDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002686. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 109 Highland Road, Stamford, CT 06902. The current status is active.
| Licensee Name | ERIN R ANDERSON |
| Credential ID | 1039198 |
| Credential Number | 23.002686 |
| Credential Type | Physician Assistant |
| Business Address |
109 Highland Road Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-11-23 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1043300 | CSP.0051766 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-12-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 109 HIGHLAND ROAD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin L Weynand | 40 Prospect Ave., Norwalk, CT 06850 | Physician Assistant | 2009-01-28 ~ 2010-03-31 |
| Erin M Williamson | 2 Bedford Ct, Farmington, CT 06032-1543 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Erin G Platt | 94 Cobbler Ln, Southbury, CT 06488-4656 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Erin M. Frank | 6 Heritage Rd, Columbia, CT 06237-1041 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
| Erin Sanzone | 28 High Ridge Run, Bristol, CT 06010-9473 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Erin C Frawley Pa | 23 Spring Rock Rd # B, Branford, CT 06405-5519 | Physician Assistant | 2012-06-01 ~ 2013-05-31 |
| Louis P Favata | 153 Erin Lane, Ludlow, MA 01056 | Physician Assistant | 2006-02-10 ~ 2007-03-31 |
| Erin Mcfadden | 133329 Fisherman Cv, Mosinee, WI 54455-5630 | Physician Assistant | 2020-03-05 ~ 2021-03-31 |
| Erin Carroll | 7 Seir Hill Rd Apt 28, Norwalk, CT 06850-1354 | Physician Assistant | 2016-05-01 ~ 2017-04-30 |
| Amanda Mauck | 241 Erin Drive, Cranberry Township, PA 16066 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on ERIN R ANDERSON.
| 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).