STEPHANIE ELIZABETH WHEELER
Physician Assistant


Address: 27 Merrell Drive, Agawam, MA 01001

STEPHANIE ELIZABETH WHEELER (Credential# 1428874) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

STEPHANIE ELIZABETH WHEELER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003877. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 27 Merrell Drive, Agawam, MA 01001. The current status is active.

Basic Information

Licensee Name STEPHANIE ELIZABETH WHEELER
Credential ID 1428874
Credential Number 23.003877
Credential Type Physician Assistant
Business Address 27 Merrell Drive
Agawam
MA 01001
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-07-06
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-04-22

Other licenses

ID Credential Code Credential Type Issue Term Status
1429163 CSP.0065764 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-07-07 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 27 Merrell Drive
City Agawam
State MA
Zip Code 01001

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Pamela J Freeman Brown 1324 Main Street, Agawam, MA 01001 Registered Nurse 2020-09-01 ~ 2021-08-31
Ashley Erin Dimauro 25 Deer Run Road, Agawam, MA 01001 Registered Nurse ~
Lou A Fitch 60 Mallard Circle, Agawam, MA 01001 Notary Public Appointment 2015-04-01 ~ 2020-03-31
Maryanne Catanzaro · Catanzaro,leone 16 Channell Drive, Agawam, MA 01001 Registered Nurse 2020-09-01 ~ 2021-08-31
Sunhee Hwang 54 River Rd, Agawam, MA 01001 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-17 ~ 2021-10-31
Taehoon An 58 River Rd, Agawam, MA 01001 Nail Technician 2020-06-17 ~ 2022-05-31
Ji Hye Safarik 119 Albert St, Agawam, MA 01001 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-16 ~ 2022-02-28
Consuelo Ana Leblanc 39 Hunting Lane, Agawam, MA 01001 Physician/surgeon 2020-08-01 ~ 2021-07-31
Sangkeun Yi 322 Meadow St, Agwam, MA 01001 Nail Technician 2020-06-12 ~ 2022-06-30
Kyunghee Koh 56 River Road, Agawam, MA 01001 Nail Technician 2020-06-12 ~ 2021-08-31
Find all Licenses in zip 01001

Competitor

Search similar business entities

City Agawam
Zip Code 01001
License Type Physician Assistant
License Type + County Physician Assistant + Agawam

Similar businesses

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Merritt F Wheeler 1511 Lavington Court, Gastonia, NC 28056 Physician Assistant 2009-06-01 ~ 2010-06-30
Elizabeth Wheeler 12 Wheeler Rd, Stonington, CT 06378 Registered Nurse 1999-05-06 ~ 2000-06-30
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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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