ANDREA CUNNINGHAM (Credential# 1305857) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2016. The license expiration date date is October 31, 2017. The license status is INACTIVE.
ANDREA CUNNINGHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003415. The credential type is physician assistant. The effective date is November 1, 2016. The expiration date is October 31, 2017. The business address is 520 E 20th St Apt 8d, New York, NY 10009-8313. The current status is inactive.
| Licensee Name | ANDREA CUNNINGHAM |
| Credential ID | 1305857 |
| Credential Number | 23.003415 |
| Credential Type | Physician Assistant |
| Business Address |
520 E 20th St Apt 8d New York NY 10009-8313 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-09-01 |
| Effective Date | 2016-11-01 |
| Expiration Date | 2017-10-31 |
| Refresh Date | 2018-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1312711 | CSP.0061515 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-09-23 | 2015-09-23 - 2017-02-28 | INACTIVE |
| Street Address | 520 E 20TH ST APT 8D |
| City | NEW YORK |
| State | NY |
| Zip Code | 10009-8313 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William J Peepas | 327 East 10th St, New York, NY 10009 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Andrew E Gewirtz | 524 E 20th St, New York City, NY 10009 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Laura M Klein | 412 East 11th Street, New York, NY 10009 | Speech and Language Pathologist | 2020-06-01 ~ 2021-05-31 |
| Yuna Su | 242 East 2nd Street Apt 5 D, New York, NY 10009 | Casino Class I Employee | 2020-02-26 ~ 2020-10-31 |
| Larissa Kim Laskowski | 18 Stuyvesant Oval, New York, NY 10009 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Syed Adil Hyat | 633 East 11th Street, New York, NY 10009 | Certified Public Accountant License | 2020-01-28 ~ 2020-12-31 |
| Patricia A Heller | 622 East 20th Street, New York, NY 10009 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Ashley Rupeka | 109 East 7th Street Apt 311, New York, NY 10009 | Notary Public Appointment | 2009-08-06 ~ 2014-08-31 |
| Kathleen Corey | 645 East 14th Street, Apt.mb, New York, NY 10009 | Notary Public Appointment | 2017-11-01 ~ 2022-10-31 |
| Adnan A Akhand | 175 E 3rd St., New York, NY 10009 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 10009 | |||
| City | NEW YORK |
| Zip Code | 10009 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gwendolyn R Cunningham | 246 Withers St Apt 3f, Brooklyn, NY 11211-1571 | Physician Assistant | 2015-03-01 ~ 2016-02-29 |
| Elizabeth K Cunningham | 9520 Stone Rd, Litchfield, OH 44253-9709 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Andrea L Calore | 110 Woodbury Rd, Watertown, CT 06795-2130 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Andrea M Lagasse | 20 Greenmeadow Ln, Granby, MA 01033-9594 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Andrea M Niziolek Pa | 56 Kelsey Springs Dr, Madison, CT 06443-2478 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Andrea H Lynch | 164 Surrey Lane, Fairfield, CT 06824 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Andrea Lauren Arnone | 1 Harvard Ave, Yonkers, NY 10710 | Physician Assistant | 2018-11-26 ~ 2019-06-30 |
| Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Andrea J Stannard Pa | 34 Chelsea Circle, Bethany, CT 06524 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Andrea Lowe | 1111 New Jersey Ave, Washington, DC 20003 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on ANDREA CUNNINGHAM.
| 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).