SAMANTHA A HOLZMAN (Credential# 1170355) 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.
SAMANTHA A HOLZMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002942. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 3 Farmstead Ln, Farmington, CT 06032-2819. The current status is active.
Licensee Name | SAMANTHA A HOLZMAN |
Credential ID | 1170355 |
Credential Number | 23.002942 |
Credential Type | Physician Assistant |
Business Address |
3 Farmstead Ln Farmington CT 06032-2819 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-07-31 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-21 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1178172 | CSP.0055843 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-08-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 3 FARMSTEAD LN |
City | FARMINGTON |
State | CT |
Zip Code | 06032-2819 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06032 |
City | FARMINGTON |
Zip Code | 06032 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + FARMINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Phyllis M Holzman | 65 Wildcat Road, Burlington, CT 06013 | Family Child Care Assistant | 2015-03-01 ~ 2017-02-28 |
Samantha J Sinche | 11 Waterbury Ln, Darien, CT 06820-3232 | Physician Assistant | 2016-11-01 ~ 2017-11-30 |
Samantha A Carofano | 26 Glenwood, Plainview, NY 11803 | Physician Assistant | 2014-11-01 ~ 2015-10-31 |
Samantha Ann Siva | 40 Primrose St Apt 2, White Plains, NY 10606-1620 | Physician Assistant | ~ |
Samantha Ann Couillard | 315 Woodfield Xing, Glastonbury, CT 06033-1464 | Physician Assistant | 2020-06-15 ~ 2021-01-31 |
Samantha L Whalen | 9 Brenda Drive, Westfield, MA 01085-3754 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
Samantha Wenta | 708 Lexington Blvd, Bethel, CT 06801 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Samantha M Moberger | 149 Wickham Road, Glastonbury, CT 06033 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
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 |
Samantha L Sailer | 55 Lambert Dr, Stratford, CT 06614-2616 | 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).