KATIE LYNN TICHENOR (Credential# 1361024) 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.
KATIE LYNN TICHENOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003641. The credential type is physician assistant. The effective date is November 1, 2016. The expiration date is October 31, 2017. The business address is 2 Ross Passway, Morris, CT 06763-1300. The current status is inactive.
| Licensee Name | KATIE LYNN TICHENOR |
| Credential ID | 1361024 |
| Credential Number | 23.003641 |
| Credential Type | Physician Assistant |
| Business Address |
2 Ross Passway Morris CT 06763-1300 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-07-22 |
| Effective Date | 2016-11-01 |
| Expiration Date | 2017-10-31 |
| Refresh Date | 2018-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1369931 | CSP.0063690 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-08-02 | 2016-08-02 - 2017-02-28 | INACTIVE |
| Street Address | 2 ROSS PASSWAY |
| City | MORRIS |
| State | CT |
| Zip Code | 06763-1300 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia Richerson | 2 Ross Passway, Morris, CT 06763 | Notary Public Appointment | 2017-11-16 ~ 2022-11-30 |
| Jason Poirier | 2 Ross Passway, Morris, CT 06763-1300 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Barbara W Ross | 2 Ross Passway, Morris, CT 06763 | Registered Nurse | 1997-10-21 ~ 1998-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Carcano | 202 Theureston Road, Morris, CT 06763 | Medication Administration Certification | 2020-05-31 ~ 2022-05-30 |
| Heather Smith Carino · Winvian | 155 Alain White Rd, Morris, CT 06763 | Hotel Liquor (10000 Or Less Population) | 2019-09-06 ~ 2021-01-05 |
| Coralie M Tedesco · Jensen | 102 Kenyon Road, Morris, CT 06763 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Andrea K Croce Prue | 139 East Street, Morris, CT 06763 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Kathleen S Woods | 447 West Morris Rd, Morris, CT 06763 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathleen E Roy | 189 Bantam Lake Rd, Morris, CT 06763 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Bajram Ajro | 266 Thomaston Road, Morris, CT 06763 | Barber | 2020-09-01 ~ 2022-08-31 |
| Jodie B Ellis · Anderson | 65 Deer Lane, Morris, CT 06763 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Maureen M Densmore | P O Box 193 Rt 61, Morris, CT 06763 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Lianna Anissa Dasilva | 217 Todd Hill Road, Morris, CT 06763 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06763 | |||
| City | MORRIS |
| Zip Code | 06763 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MORRIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katie Lynn Anderson | 15 Wiemes Ct, Waterford, CT 06385 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Katie Lynn Scott | 5717 Pacific Center Blvd, San Diego, CA 92121-4250 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Katie S Kwok Pa-c | 177 Judson Rd, Fairfield, CT 06824 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Katie L Merithew | 10 Phelps Dr, Hamden, CT 06514 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Katie J Arey | 9 Cobblestone Dr, Broad Brook, CT 06016-1200 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Katie M Roach | 3 David Drive, Simsbury, CT 06070 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Katie A Coppola | 288 Haddam Quarter Rd, Durham, CT 06422-1618 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Lynn T Tran Pa | 34-43 57 Street, Woodside, NY 11377 | Physician Assistant | 2019-04-01 ~ 2020-03-31 |
| Lynn M Fairchild | 122 Atwater Rd, Canton, CT 06019 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lynn M Hall | 722 Vauxhall St Ext, Waterford, CT 06385 | Physician Assistant | 1994-02-28 ~ 1995-03-31 |
Please comment or provide details below to improve the information on KATIE LYNN TICHENOR.
| 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).