ANDREA M LAGASSE (Credential# 1074424) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
ANDREA M LAGASSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002766. The credential type is physician assistant. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 20 Greenmeadow Ln, Granby, MA 01033-9594. The current status is active.
| Licensee Name | ANDREA M LAGASSE |
| Credential ID | 1074424 |
| Credential Number | 23.002766 |
| Credential Type | Physician Assistant |
| Business Address |
20 Greenmeadow Ln Granby MA 01033-9594 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-06-15 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-10-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1079650 | CSP.0052761 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-07-03 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 20 GREENMEADOW LN |
| City | GRANBY |
| State | MA |
| Zip Code | 01033-9594 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark W Aldrich | 6 Greenmeadow Ln, Granby, MA 01033-9594 | Heating, Piping & Cooling Limited Contractor | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dave Carmen | 15 Mary Lyon Dr, Granby, MA 01033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Melissa S Saunders | 73 Ferry Hill Rd., Granby, MA 01033 | Behavior Analyst | 2020-06-01 ~ 2021-05-31 |
| Sarah Elizabeth Murphy | 59 Pleasant Street, Granby, MA 01033 | Registered Nurse - Temporary | 2020-03-02 ~ 2020-06-30 |
| Carla V Diloreto | 243 Chicopee Street, Granby, MA 01033 | Notary Public Appointment | 2014-12-01 ~ 2019-11-30 |
| Linda L Bonzagni | 212 Amherst St, Granby, MA 01033 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Lindsay Rehm | 286 Batchelor St, Granby, MA 01033 | Registered Nurse | 2020-02-05 ~ 2020-12-31 |
| David B Sullivan | 183 Taylor St, Granby, MA 01033 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jesse M Moreno | 13 Deerbrook Drive, Granby, MA 01033 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Kevin Clark | 25 West State St, Granby, MA 01033 | Repairer of Weighing & Measuring Devices | 2019-01-01 ~ 2019-12-31 |
| Christopher R Murphy | 31 W State Street, Granby, MA 01033 | Repairer of Weighing & Measuring Devices | 2019-01-01 ~ 2019-12-31 |
| Find all Licenses in zip 01033 | |||
| City | GRANBY |
| Zip Code | 01033 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GRANBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lagasse LLC | 235 Fairway Crossing, Glastonbury, CT 06033 | Home Improvement Contractor | 1997-12-17 ~ 1998-11-30 |
| Lagasse Lumber LLC | 161 Wood Lord Ave, Plainville, CT 06062 | Home Improvement Contractor | 1998-03-25 ~ 1998-11-30 |
| Roger G Lagasse · Lagasse Home Improvements | 439 Northampton St, Holyoke, MA 01040-9514 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
| Andrea L Calore | 110 Woodbury Rd, Watertown, CT 06795-2130 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Andrea Cunningham | 520 E 20th St Apt 8d, New York, NY 10009-8313 | Physician Assistant | 2016-11-01 ~ 2017-10-31 |
| Andrea J Stannard Pa | 34 Chelsea Circle, Bethany, CT 06524 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Andrea M Niziolek Pa | 56 Kelsey Springs Dr, Madison, CT 06443-2478 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Andrea Lowe | 1111 New Jersey Ave, Washington, DC 20003 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Andrea Lauren Arnone | 1 Harvard Ave, Yonkers, NY 10710 | Physician Assistant | 2018-11-26 ~ 2019-06-30 |
| Andrea H Lynch | 164 Surrey Lane, Fairfield, CT 06824 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on ANDREA M LAGASSE.
| 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).