DIANA J TAVENER (Credential# 1417400) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
DIANA J TAVENER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003831. The credential type is physician assistant. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 2840 Seven Oaks Cir, Vestavia, AL 35216-3198. The current status is active.
| Licensee Name | DIANA J TAVENER |
| Credential ID | 1417400 |
| Credential Number | 23.003831 |
| Credential Type | Physician Assistant |
| Business Address |
2840 Seven Oaks Cir Vestavia AL 35216-3198 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-05-16 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-12-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1425181 | CSP.0065511 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-19 | 2017-05-19 - 2019-02-28 | LAPSED |
| Street Address | 2840 SEVEN OAKS CIR |
| City | VESTAVIA |
| State | AL |
| Zip Code | 35216-3198 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nuevas Esperanzas, Nuevas Esperanzas Us | 3517 Laurel View Road, Birmingham, AL 35216 | Public Charity-exempt From Financial Requirements | 2014-05-13 ~ |
| Charles H Sain · Sain Assocs Inc | 1320 Badham Dr, Vestavia Hills, AL 35216 | Professional Engineer | 1993-01-21 ~ 1994-01-31 |
| Robert W Fish | 1432 Panorama Dr, Birmingham, AL 35216 | Professional Engineer | 1995-01-05 ~ 1996-01-31 |
| Joseph D Hennessy · Rust International Corp | 221 Erwin Circle, Vestavia Hills, AL 35216 | Professional Engineer | 1994-01-03 ~ 1995-01-31 |
| Jerry M South | 2613 Vestavia Frst Pl, Birmingham, AL 35216 | Professional Engineer | 1800-12-27 ~ 1993-01-31 |
| Sudesh K Gupta · Rust International Corp | 2651 Southbury Circle, Birmingham, AL 35216 | Professional Engineer | 1986-02-06 ~ 1987-01-31 |
| Netista D Jones | 3741 Chestnut Ridge Lane, Hoover, AL 35216 | Registered Nurse | 2009-02-17 ~ 2010-02-28 |
| Deborah Jasnocha | 2 The Falls, Vestavia Hills, AL 35216 | Registered Nurse | 1996-07-29 ~ 1997-07-31 |
| Stephanie N Mcguffie | 2115-b Montreat Way, Birmingham, AL 35216 | Registered Nurse | 2008-05-19 ~ 2008-10-31 |
| Cynthia J Stokes | 3747 Haven View Cir, Birmingham, AL 35216 | Registered Nurse | 2001-10-02 ~ 2002-11-30 |
| Find all Licenses in zip 35216 | |||
| City | VESTAVIA |
| Zip Code | 35216 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + VESTAVIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana Friedman | 41 Manursing Ave, Rye, NY 10580 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Edward Zaslavsky Pa | 130 Diana Rd, Plantsville, CT 06479-1307 | Physician Assistant | 2006-10-17 ~ 2007-09-30 |
| Diana Waxler | 1 Thomas St, Scarsdale, NY 10583-1030 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Diana Sternberg | 9 Newman Pl, Fairfield, CT 06825-1351 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Diana B Schumitz Pa | 173 Borrmann Rd, East Haven, CT 06512 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Diana L D'amelio | 1 Cloverleaf Drive, New Fairfield, CT 06812 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Diana Jean King | 119 Union St., East Walpole, MA 02032 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Katrina Porter | 11 Tavener Cir, Newington, CT 06111-1119 | Optician Apprentice | 2020-03-04 ~ 2020-08-31 |
| Ann J Schlain | 14 Tavener Circle, Newington, CT 06111 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Diana Lippi | Diana M Lippi, Sandy Hook, CT 06482 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
Please comment or provide details below to improve the information on DIANA J TAVENER.
| 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).