ALYSSA KANAGAKI GREENLEAF
Physician Assistant


Address: 42 Chapman Road, West Hartford, CT 06107

ALYSSA KANAGAKI GREENLEAF (Credential# 1401199) 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.

Business Overview

ALYSSA KANAGAKI GREENLEAF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004051. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 42 Chapman Road, West Hartford, CT 06107. The current status is active.

Basic Information

Licensee Name ALYSSA KANAGAKI GREENLEAF
Credential ID 1401199
Credential Number 23.004051
Credential Type Physician Assistant
Business Address 42 Chapman Road
West Hartford
CT 06107
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-03-01
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2019-12-13

Other licenses

ID Credential Code Credential Type Issue Term Status
1497037 CSP.0067579 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-03-08 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 42 Chapman Road
City WEST HARTFORD
State CT
Zip Code 06107

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Rebecca L Stansfield 73 Tunxis Road, West Hartford, CT 06107 Registered Nurse 2020-09-01 ~ 2021-08-31
Kumari Joshi 44 Bentwood Rd, West Hartford, CT 06107 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Laurie C Caines Md 205 Stoner Drive, West Hartford, CT 06107 Physician/surgeon 2020-07-01 ~ 2021-06-30
Nicole K. Edlund 11 Greenacres Avenue, West Hartford, CT 06107 Master's Level Social Worker - Temporary Permit ~
Andrea M Yuliano 39 Mountain Terrace Road, West Hartford, CT 06107 Registered Nurse 2020-07-01 ~ 2021-06-30
Elizabeth M Ineson 4 Linwold Dr, West Htfd, CT 06107 Architect 2020-08-01 ~ 2021-07-31
Sarah G Potter 19 Westland Ave, West Hartford, CT 06107 Registered Nurse 2020-09-01 ~ 2021-08-31
Jessica C Abreu 14 Deepwood Lane, West Hartford, CT 06107 Real Estate Salesperson 2020-06-18 ~ 2021-05-31
William C Richter 67 Hillsboro Drive, West Hartford, CT 06107 Architect 2020-08-01 ~ 2021-07-31
Teresa M Stanton 25 Common Dr., West Hartford, CT 06107 Registered Nurse 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06107

Competitor

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City WEST HARTFORD
Zip Code 06107
License Type Physician Assistant
License Type + County Physician Assistant + WEST HARTFORD

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Dataset Information

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).

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