KATHERINE E BEAM (Credential# 1295151) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2017. The license expiration date date is January 31, 2018. The license status is INACTIVE.
KATHERINE E BEAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003357. The credential type is physician assistant. The effective date is February 1, 2017. The expiration date is January 31, 2018. The business address is 3310 34th Ave Apt B1, Astoria, NY 11106-1812. The current status is inactive.
| Licensee Name | KATHERINE E BEAM |
| Credential ID | 1295151 |
| Credential Number | 23.003357 |
| Credential Type | Physician Assistant |
| Business Address |
3310 34th Ave Apt B1 Astoria NY 11106-1812 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-06-29 |
| Effective Date | 2017-02-01 |
| Expiration Date | 2018-01-31 |
| Refresh Date | 2018-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1075504 | 70.015118 | Emergency Medical Technician | 2012-06-12 | 2012-06-12 - 2014-07-01 | INACTIVE |
| Street Address | 3310 34TH AVE APT B1 |
| City | ASTORIA |
| State | NY |
| Zip Code | 11106-1812 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carl L Clarke | 3212 B'way 2nd Place, Astoria, NY 11106 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Dolores Gomes | 32-81 35th Street, Astoria, NY 11106 | Dental Hygienist | 2018-12-01 ~ 2019-11-30 |
| Peter A Foster | 1444 31 Drive, Astoria, NY 11106 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Areti Serkizis | 32-14 31st Ave, Astoria, NY 11106 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| R La Faye Roberts | 25-21 31st Avenue D35, Astoria, NY 11106 | Notary Public Appointment | 1999-05-03 ~ 2004-05-31 |
| Dimitrios Koutsoukos | 35-34 31st St, Lic, NY 11106 | New Home Construction Contractor | 2013-10-01 ~ 2015-09-30 |
| Caitlyn Mcnamara Mcniff | 3162 29th St, Astoria, NY 11106 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Jennifer R Ward | 3552 32nd St Apt 3, Astoria, NY 11106 | Youth Camp Director | 2019-06-06 ~ |
| Stephen Moran | 3210 33rd St., Astoria, NY 11106 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Drini Kroni | 3174 29st, Astoria, NY 11106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 11106 | |||
| City | ASTORIA |
| Zip Code | 11106 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + ASTORIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| L. Katherine Grasso | Po Box 191, Sudbury, MA 01776-0191 | Physician Assistant | ~ |
| Beam Project · Beam | 3736 Lawrence Dr, Naperville, IL 60564-4172 | Public Charity-exempt From Financial Requirements | 2019-10-15 ~ |
| Beam Construction Co Inc | 62 Bloomer Rd, Ridgefield, CT 06877 | Home Improvement Contractor | 1995-08-24 ~ 1995-11-30 |
| Katherine S O'connor | 131 Redlands St, Springfield, MA 01104-2911 | Physician Assistant | 2012-11-21 ~ 2013-11-30 |
| Katherine Mary White | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
| Katherine E Voss | 93 Kenneth Dr, Vernon, CT 06066 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Mariella Katherine Castro | 245 5th Ave, New York, NY 10016 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Katherine Beam | 117 Waterside Ln, West Hartford, CT 06107-3525 | Controlled Substance Registration for Practitioner | 2015-08-04 ~ 2017-02-28 |
| Katherine M Baird | 85 Grandview Drive, Lebanon, CT 06249 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Katherine F Macchia | 73 Seaview Avenue, Branford, CT 06405 | Physician Assistant | 1998-10-14 ~ 1999-12-31 |
Please comment or provide details below to improve the information on KATHERINE E BEAM.
| 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).