MELISSA G FAIRBAIRN (Credential# 1263392) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MELISSA G FAIRBAIRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003303. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 28 Russett Rd, Sandy Hook, CT 06482-1455. The current status is active.
| Licensee Name | MELISSA G FAIRBAIRN |
| Credential ID | 1263392 |
| Credential Number | 23.003303 |
| Credential Type | Physician Assistant |
| Business Address |
28 Russett Rd Sandy Hook CT 06482-1455 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-03-13 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1272408 | CSP.0059710 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-04-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 28 RUSSETT RD |
| City | SANDY HOOK |
| State | CT |
| Zip Code | 06482-1455 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine A D'aquila | 4 Fleetwood Drive, Sandy Hook, CT 06482 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Deanna M Galanis | 9 Riverside Road, Sandy Hook, CT 06482 | Eyelash Technician | 2020-06-26 ~ 2022-02-28 |
| Bruce J Kerns | 42 Great Quarter Rd, Sandy Hook, CT 06482 | Veterinarian | 2020-06-01 ~ 2021-05-31 |
| Nancy B Sheehan | 6 Clearview Drive, Sandy Hook, CT 06482 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Elisa A Keenan | 8 Farview Dr, Sandy Hook, CT 06482 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Children's Adventure Center Inc. | 14 Riverside Road, Sandy Hook, CT 06482 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Linda J Wallace | 80 Walnut Tree Hill, Sandy Hook, CT 06482 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gina E Long | 35 Poplar Drive, Sandy Hook, CT 06482 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Phillip M Lombardo | 42 Berkshire Road, Sandy Hook, CT 06482 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Robert D Mitchell | 71 Osborn Hill Rd, Sandy Hook, CT 06482 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06482 | |||
| City | SANDY HOOK |
| Zip Code | 06482 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SANDY HOOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Geoffrey Fairbairn · Fairbairn Bros | 100 Cove Rd, Stonington, CT 06378-2301 | New Home Construction Contractor | 2019-10-01 ~ 2021-09-30 |
| Melissa Lemiech | P. O. Box 142, Somers, CT 06071 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Deanna M Locurto | 18 Melissa Ln, Prospect, CT 06712-1462 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Melissa M Lariviere Pa | 39 Pervier Ave, Chicopee, MA 01020-4445 | Physician Assistant | 2010-09-27 ~ 2011-07-31 |
| Melissa Pelton | 89 Mohawk St, Stratford, CT 06614 | Physician Assistant | 2008-03-21 ~ 2009-05-31 |
| Melissa Smirnow | 205 10th St, Jersey City, NJ 07302 | Physician Assistant | ~ |
| Melissa Acquaviva D'amato | 44 Cheltenham Way, Avon, CT 06001 | Physician Assistant | ~ |
| Melissa L Marion Pa | 64 Robbins St, Waterbury, CT 06708-2613 | Physician Assistant | 2005-10-04 ~ 2006-07-31 |
| Melissa Hernandez | 370 Westchester Ave Apt 6s, Port Chester, NY 10573-3609 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Melissa Hawkins Chaplik | 9 Rimmon Rd, Woodbridge, CT 06525 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on MELISSA G FAIRBAIRN.
| 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).