SHARLENE L. GEYER (Credential# 1174563) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2018. The license status is INACTIVE.
SHARLENE L. GEYER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002968. The credential type is physician assistant. The effective date is March 1, 2017. The expiration date is February 28, 2018. The business address is 170 Forest St Apt 12, Stamford, CT 06901-2128. The current status is inactive.
Licensee Name | SHARLENE L. GEYER |
Credential ID | 1174563 |
Credential Number | 23.002968 |
Credential Type | Physician Assistant |
Business Address |
170 Forest St Apt 12 Stamford CT 06901-2128 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2013-09-09 |
Effective Date | 2017-03-01 |
Expiration Date | 2018-02-28 |
Refresh Date | 2018-06-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
883821 | 23 | Physician Assistant | - | EXPIRED APPLICATION |
Street Address | 170 FOREST ST APT 12 |
City | STAMFORD |
State | CT |
Zip Code | 06901-2128 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carrie M Hofstad | 170 Forest St Apt 14, Stamford, CT 06901-2128 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Tatiana P Belykh | 170 Forest St Apt 10, Stamford, CT 06901-2128 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jisun Lee | 140 Grove St #3a, Stamford, CT 06901 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
Sbarro # 968 | 100 Greyrock Place, Stamford, CT 06901 | Bakery | 2020-07-01 ~ 2021-06-30 |
Sausan A Hilmi Md | Ehe International, Stamford, CT 06901 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Andrew Sosa | 66 Summer Street Apt 1508, Stamford, CT 06901 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Melissa Kay Rosenberg | 180 Broad Street, Stamford, CT 06901 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
Niki Maroulakos | 1 Broad Street, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
Ana D Granda | 355 Atlantic St Unit 20d, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-11 ~ 2021-05-31 |
Zachary Daly Walzer | 800 Summer St, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
Kathy E Dunigan | 2 Canterbury Green #2508, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
Iwona Grzebyk | 99 Prospect Str Apt 5e, Stamford, CT 06901 | Esthetician | 2020-06-13 ~ 2022-03-31 |
Find all Licenses in zip 06901 |
City | STAMFORD |
Zip Code | 06901 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + STAMFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Etablissements Geyer Freres · Jean Pierre Barjon | Rue De Torcheville, France, 57670 | Non-alcoholic Beverage & Water Bottlers | 1999-05-27 ~ 1999-06-30 |
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 |
Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
Michael A Geyer | 1 Bond St, New York, NY 10012 | Architect | 2002-08-05 ~ 2003-07-31 |
Kimberly A Geyer | Po Box 15, Rowayton, CT 06853 | Hairdresser/cosmetician | 1993-02-25 ~ 1994-02-28 |
Connecticut Dermatology Physician Assistant Society Inc. | Po Box 847, Manchester, CT 06045 | Public Charity-exempt From Financial Requirements | ~ |
Heather Geyer | 7 Gun Club Run, Stonington, CT 06378-1527 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
Melanie A Mayersohn · Geyer | 32 Cedar Ln, Norwich, CT 06360-1425 | Radiographer | 2020-01-01 ~ 2020-12-31 |
Faith D Geyer | 24 Spring St, Noank, CT 06340 | Hairdresser/cosmetician | 2011-01-01 ~ 2012-12-31 |
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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).