ROBERT MICHAEL DREW (Credential# 1410346) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
ROBERT MICHAEL DREW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003820. The credential type is physician assistant. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 660 N Stacie Ct, Chandler, AZ 85226-1619. The current status is inactive.
Licensee Name | ROBERT MICHAEL DREW |
Credential ID | 1410346 |
Credential Number | 23.003820 |
Credential Type | Physician Assistant |
Business Address |
660 N Stacie Ct Chandler AZ 85226-1619 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2017-04-18 |
Effective Date | 2018-05-01 |
Expiration Date | 2019-04-30 |
Refresh Date | 2019-08-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1418971 | CSP.0065226 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-04-20 | 2017-04-20 - 2019-02-28 | LAPSED |
872604 | 70.980691 | Emergency Medical Technician | 1998-06-01 | - 2000-07-01 | INACTIVE |
Street Address | 660 N STACIE CT |
City | CHANDLER |
State | AZ |
Zip Code | 85226-1619 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tailstorm Health Inc/medivant Healthcare · Medivant Healthcare | 158 S Kyrene Rd, Chandler, AZ 85226 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-06-10 ~ |
Trinity Capital Inc. | 3075 West Ray Road, Chandler, AZ 85226 | Securities - Exemptions | 2020-01-31 ~ |
Dorna Rezania | 3210 West Genoa Way, Chandler, AZ 85226 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Mary M Brumand | 6933 W Laredo Street, Chandler, AZ 85226 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Daniela Dipomazio | 5714 West Ivanhoe St., Chandler, AZ 85226 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Virginia A Brown | 5613 W Frye Road, Chandler, AZ 85226 | Registered Nurse | 2017-05-01 ~ 2018-04-30 |
April Elizabeth Cole | 148 South Gillette Court, Chandler, AZ 85226 | Registered Nurse | 2016-11-29 ~ 2017-03-31 |
Robert C Fischer | 3653 West Folley Street, Chandler, AZ 85226 | Certified Public Accountant Certificate | ~ |
Janel A Hemmerle | 49 South Poplar Way, Chandler, AZ 85226 | Registered Nurse | 2011-08-01 ~ 2012-07-31 |
Denise E Harkema | 1070 N. Aspen Drive, Chandler, AZ 85226 | Registered Nurse | 2011-05-01 ~ 2012-04-30 |
Find all Licenses in zip 85226 |
City | CHANDLER |
Zip Code | 85226 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + CHANDLER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lemuel Drew Crudup | 40 Robert Dennis Dr, Milford, CT 06461-2274 | Occupational Therapist Assistant | ~ |
Robert Michael Stickler | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2019-06-06 ~ 2020-05-31 |
Drew S Pruna · Drew Insulation | 7 Mannions La #13, Danbury, CT 06810 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Michael Moi | 85 Riverside Ave Apt G2, Stamford, CT 06905-4421 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Juanita Drapeau-drew | 46 Parker St, Enfield, CT 06082-2936 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Robert J Alfiero Pa | 2 Champion St, Westerly, RI 02891 | Physician Assistant | 2004-06-14 ~ 2005-05-31 |
Robert L Bligh Jr. | 23 Cortland Way, Newington, CT 06111 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Robert Greco Pa | 12 Sand Rd, New Milford, CT 06770 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Robert Ficara Pa | 30 Farm Lea Dr, Somers, CT 06071-1117 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Robert J Brice | 124 Simpson Ave, Wallingford, CT 06492 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
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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).