ADAM B. SHAIN (Credential# 1202774) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2016. The license expiration date date is July 31, 2017. The license status is INACTIVE.
ADAM B. SHAIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003052. The credential type is physician assistant. The effective date is August 1, 2016. The expiration date is July 31, 2017. The business address is 1752 Nw Market St # 527, Seattle, WA 98107-5264. The current status is inactive.
Licensee Name | ADAM B. SHAIN |
Credential ID | 1202774 |
Credential Number | 23.003052 |
Credential Type | Physician Assistant |
Business Address |
1752 Nw Market St # 527 Seattle WA 98107-5264 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2014-02-18 |
Effective Date | 2016-08-01 |
Expiration Date | 2017-07-31 |
Refresh Date | 2017-11-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1203066 | CSP.0056618 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-02-21 | 2014-02-21 - 2015-02-28 | INACTIVE |
845905 | 70.006172 | Emergency Medical Technician | 2005-07-13 | 2005-07-13 - 2007-07-01 | INACTIVE |
1203064 | HIC.0638737 | HOME IMPROVEMENT CONTRACTOR | - | PENDING |
Street Address | 1752 NW MARKET ST # 527 |
City | SEATTLE |
State | WA |
Zip Code | 98107-5264 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Beta Hatch Inc | 1752 Nw Market St # 632, Seattle, WA 98107-5264 | Commercial Fertilizer | 2016-09-09 ~ 2017-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Christine C Payne | 6325 17th Ave Nw, Seattle, WA 98107 | Psychologist | 2016-12-01 ~ 2017-11-30 |
Kayla Dow | 1752 Nw Market Street #613, Seattle, WA 98107 | Registered Nurse - Temporary | 2015-04-07 ~ 2015-08-04 |
Anders J Hammersborg | 6037 35th Pl Nw, Seattle, WA 98107 | Engineer-in-training | 2003-11-18 ~ 2013-11-18 |
One Day's Wages | 1123 Nw 60th Street, Seattle, WA 98107 | Public Charity | 2009-10-09 ~ 2010-05-31 |
William T Parker Jr | 6006 3rd Ave Nw Apt #3, Seattle, WA 98107 | Architect | 1999-08-01 ~ 2000-07-31 |
Janet M Hopkins | 4119 Baker Ave Nw, Seattle, WA 98107 | Naturopathic Physician | 1997-11-20 ~ 1998-08-31 |
Todd P Knauerhase | 6216 9th Nw, Seattle, WA 98107 | Pharmacist | 1997-02-01 ~ 1998-01-31 |
Foundation for Community Encouragement Inc. | Po Box 17210, Seattle, WA 98107-0910 | Public Charity | ~ |
John M Nissen | 3437 Nw 59th St, Seattle, WA 98107-3352 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
Stephen A. Hoffman | 5217 8th Ave Nw, Seattle, WA 98107-3621 | Certified Public Accountant License | 2016-01-01 ~ 2016-12-31 |
Find all Licenses in zip 98107 |
City | SEATTLE |
Zip Code | 98107 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + SEATTLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Adam Clements | 543 Abbey Dr, Longmont, CO 80504-2525 | Physician Assistant | ~ |
Adam J Wiesenthal Pa | 163 Burger Rd, Rhinebeck, NY 12572-2364 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Adam Robert Sokolowski | 35 Sylvia Ct, Plantsville, CT 06479-1322 | Physician Assistant | ~ |
Adam R Olsen Pa | 13 Holmes Rd, Ridgefield, CT 06877-4301 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Adam P Cadan | 2437 Bedford St Ste 1, Stamford, CT 06905-3919 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Adam C Kelly Pa | 1403 Horizon Way, Manchester, CT 06042 | Physician Assistant | 2008-03-04 ~ 2009-04-30 |
Adam R Romanek | 97 Shelley Ave, Port Chester, NY 10573 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Joshua M Shain | 422 Toilsome Hill Rd, Fairfield, CT 06825-1627 | Acupuncturist | 2018-11-01 ~ 2020-10-31 |
Shain T Williams | 1729 Ayerson Ave, Scranton, PA 18509 | Tv & Radio Limited Dish Antenna Technician | ~ |
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 |
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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).