ALYSON M HERNIGLE (Credential# 1494798) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ALYSON M HERNIGLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004080. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 3 Minuteman Ln, Oxford, MA 01540-1953. The current status is active.
Licensee Name | ALYSON M HERNIGLE |
Credential ID | 1494798 |
Credential Number | 23.004080 |
Credential Type | Physician Assistant |
Business Address |
3 Minuteman Ln Oxford MA 01540-1953 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-04-16 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-05-21 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1505180 | CSP.0067780 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-04-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
1305573 | 54.001088 | Athletic Trainer | 2015-09-17 | 2015-09-17 - 2016-06-30 | INACTIVE |
Street Address | 3 MINUTEMAN LN |
City | OXFORD |
State | MA |
Zip Code | 01540-1953 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kevin A Stearns | 39a Sullivan Blvd, Oxford, MA 01540 | Electrical Unlimited Journeyperson | ~ |
Nancy M Noonan | 1 Corey Drive, Oxford, MA 01540 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jessica Legasey-johnson | 26 Mayfair Circle, Oxford, MA 01540 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Jacklyn A Fleming | 25 Camp Hill Dr, Oxford, MA 01540 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
Margo M Chumsae | 5 Depot Road, Oxford, MA 01540 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Alexis R Lima | 24 Wayne Avenue, Oxford, MA 01540 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Lisa M Raimondi | 70 Old Southbridge Road, Oxford, MA 01540 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Lori A Hamilton | 2 Clarence Dr, Oxford, MA 01540 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Diana T O'connor | 74 Fort Hill Road, Oxford, MA 01540 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Steven Nowicki | 15 Barton St, Oxford, MA 01540 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Find all Licenses in zip 01540 |
City | OXFORD |
Zip Code | 01540 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + OXFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alyson L Smith | Apt 3h/building 2, Norwalk, CT 06850 | Physician Assistant | 1997-04-02 ~ 1998-03-31 |
Alyson Rose Vogel | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
Alyson King Gannon | 272 Nortontown Rd, Guilford, CT 06437 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Alyson Levine | 9 Ann Lane, Rye, NY 10580 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Nancy Alyson Shaw | 75 Newell Dr, Cumberland, RI 02864-4247 | Physician/surgeon | 1987-03-13 ~ 1990-02-28 |
Alyson S Cunningham | 150 Beacon Hill Dr, West Hartford, CT 06117-1006 | Resident Physician | 2017-07-01 ~ 2022-06-30 |
Alyson G Yashar | 577 Chestnut Ridge Road, Woodcliff Lake, NJ 07677 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
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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).