KATIE L MERITHEW (Credential# 1237594) 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.
KATIE L MERITHEW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003161. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 10 Phelps Dr, Hamden, CT 06514. The current status is active.
| Licensee Name | KATIE L MERITHEW |
| Credential ID | 1237594 |
| Credential Number | 23.003161 |
| Credential Type | Physician Assistant |
| Business Address |
10 Phelps Dr Hamden CT 06514 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-08-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1244822 | CSP.0058692 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-09-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 10 Phelps Dr |
| City | Hamden |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | Hamden |
| Zip Code | 06514 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin James Merithew · J Merithew Remodeling | 189 Bluebird Dr, Naugatuck, CT 06770-5118 | Home Improvement Contractor | 2019-12-09 ~ 2020-11-30 |
| Katie S Kwok Pa-c | 177 Judson Rd, Fairfield, CT 06824 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Katie J Arey | 9 Cobblestone Dr, Broad Brook, CT 06016-1200 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Katie A Coppola | 288 Haddam Quarter Rd, Durham, CT 06422-1618 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Katie M Roach | 3 David Drive, Simsbury, CT 06070 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Katie Lynn Anderson | 15 Wiemes Ct, Waterford, CT 06385 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Katie Lynn Tichenor | 2 Ross Passway, Morris, CT 06763-1300 | Physician Assistant | 2016-11-01 ~ 2017-10-31 |
| Katie Lynn Scott | 5717 Pacific Center Blvd, San Diego, CA 92121-4250 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Katie S Barrette | 262 Aldbourne Dr, Bristol, CT 06010-2396 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Katie L. M. Gaenzler | 181 Ardsley Rd, Waterbury, CT 06708-1878 | Occupational Therapist Assistant | 2019-10-03 ~ 2021-07-31 |
Please comment or provide details below to improve the information on KATIE L MERITHEW.
| 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).