KAREN M SMITH (Credential# 1282445) 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.
KAREN M SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003368. The credential type is physician assistant. The effective date is August 1, 2016. The expiration date is July 31, 2017. The business address is 349 Main Ave Apt 6, Norwalk, CT 06851-1589. The current status is inactive.
Licensee Name | KAREN M SMITH |
Credential ID | 1282445 |
Credential Number | 23.003368 |
Credential Type | Physician Assistant |
Business Address |
349 Main Ave Apt 6 Norwalk CT 06851-1589 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2015-07-01 |
Effective Date | 2016-08-01 |
Expiration Date | 2017-07-31 |
Refresh Date | 2017-11-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1297534 | CSP.0060850 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-07-02 | 2015-07-02 - 2017-02-28 | INACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karen M Smith | 111 Haley Rd, Mystic, CT 06355-1060 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Karen M Smith | 16 Westminster Ct, Milford, CT 06461-1619 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Karen M Smith | 250, Stratford, CT 06615-6961 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Karen M Smith | 344 Lewis Ave, Yorktown Heights, NY 10598-1709 | Registered Nurse | ~ |
Street Address | 349 MAIN AVE APT 6 |
City | NORWALK |
State | CT |
Zip Code | 06851-1589 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lissa A Grossman | 349 Main Ave Apt 4, Norwalk, CT 06851-1589 | Licensed Clinical Social Worker | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Louis A Diberardino | 5 Merrill Rd, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
William N Andriopoulos | 21 Maurice St, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
Donald D Overton | 5 Honey Hill Road, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
A & J Shoe Corporation · Hawley Lane Shoes | 499 Westport Ave, Norwalk, CT 06851 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Michael T Coppolo | 21 Morgan Avenue, Norwalk, CT 06851 | Real Estate Salesperson | ~ |
Catherine Mills | 27c Aiken Street, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
Theresa B Ross-whitaker · Ross | 7 Disesa Court, Norwalk, CT 06851 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Michelle P Vincoli | 136 Newtown Ave, Norwalk, CT 06851 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
Dunkin Donuts | 195 Main Street, Norwalk, CT 06851 | Bakery | 2020-07-01 ~ 2021-06-30 |
Jungsoo Kim | 430 Main Ave R8, Norwalk, CT 06851 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-23 ~ 2022-05-31 |
Find all Licenses in zip 06851 |
City | NORWALK |
Zip Code | 06851 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + NORWALK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karen Smith | 23 Riverside Dr Apt A11, Clinton, CT 06413-2615 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Karen S Piciw | 45 School St, Shelton, CT 06484 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Karen M Marlett Pa | 399 Woodhouse Ave, Wallingford, CT 06492-5415 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Karen D Rosen | 51 Eastbrook Ter, Berlin, CT 06037-2287 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Delmar J Smith | 137-33 174 St, Jamaica, NY 11434 | Physician Assistant | 2011-08-25 ~ 2012-08-31 |
Karen C Fraser | 28 Country Club Lane, Easton, CT 06612 | Physician Assistant | 2005-06-29 ~ 2006-07-31 |
Alyson L Smith | Apt 3h/building 2, Norwalk, CT 06850 | Physician Assistant | 1997-04-02 ~ 1998-03-31 |
Laura M Smith | 20 York St, New Haven, CT 06510-3220 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Garrett F Smith | 5 Tibbals St, Milford, CT 06460-5649 | Physician Assistant | 2010-02-05 ~ 2010-12-31 |
Kristine C. Correira | 37 Smith Rd, Charlton, MA 01507-1617 | Physician Assistant | 2016-05-01 ~ 2017-04-30 |
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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).