ALEXANDRA LAUREN SIRRINE (Credential# 1520423) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
ALEXANDRA LAUREN SIRRINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004121. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2 Trail Run, Vernon, CT 06066. The current status is active.
Licensee Name | ALEXANDRA LAUREN SIRRINE |
Credential ID | 1520423 |
Credential Number | 23.004121 |
Credential Type | Physician Assistant |
Business Address |
2 Trail Run Vernon CT 06066 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-06-28 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-05-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1521418 | CSP.0068612 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-06-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 2 Trail Run |
City | Vernon |
State | CT |
Zip Code | 06066 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kelly Elizabeth Sullivan | 2 Trail Run, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cynthia Stelma | 35 White St, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Diana C Mendieta | 127 Lake St, Vernon, CT 06066 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
Taylor Rose Mulcahy | 95 Hockanum Blvd Unit #5223, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Eric Scott · E Scott Const | 27 Lawrence St, Vernon Rockville, CT 06066 | Home Improvement Contractor | 2020-06-20 ~ 2020-11-30 |
Margaret A Lucerini | 27 Rosewood Dr, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Alexander John Bozzi | 28 Deepwood Dr, Vernon, CT 06066 | Home Inspector Intern | 2020-05-30 ~ 2021-06-30 |
Kathleen N Laplaca | 244 Risley Road, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Shawnda Shelton | 215 East Main St. #25, Vernon, CT 06066 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
Ireland Oil Co Inc | 171 Union St, Vernon, CT 06066 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Annmarie Margaret Fultz | 1a Prospect St, Vernon Rockville, CT 06066 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06066 |
City | Vernon |
Zip Code | 06066 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Vernon |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexandra L Sirrine | 21 Leah Ln, South Windsor, CT 06074-1875 | Emergency Medical Technician | 2015-02-20 ~ 2018-01-01 |
Alexandra Lauren Kruzel | 300 Putnam Rd, Pomfret Center, CT 06259 | Occupational Therapist Assistant | 2018-08-21 ~ 2019-07-31 |
Sirrine Services Inc | 16 Cavasin Dr, East Lyme, CT 06333 | Professional Engineer | 1987-01-29 ~ 1988-01-31 |
Alexandra M Bachyrycz | 300 Columbus Ave Apt 3t, Tuckahoe, NY 10707-2558 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
Alexandra Archer Pa-c | 4 Fuller Ave, Ardsley, NY 10502-2110 | Physician Assistant | 2019-06-01 ~ 2020-05-31 |
Morgan Alexandra Tate | 245 5th Ave, New York, NY 10016 | Physician Assistant | 2020-04-23 ~ 2020-10-31 |
Alexandra C Kayat Pa-c | 709 Brookside Ct, Manchester, CT 06042-7116 | Physician Assistant | 2012-05-01 ~ 2013-04-30 |
Alexandra P Pavain | 24 Hospital Ave, Danbury, CT 06810-6099 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Alexandra Taylor Martin | 661 King Ave, Bronx, NY 10464-1114 | Physician Assistant | 2019-07-26 ~ 2020-04-30 |
Brittany Alexandra Ramos | 119 Simpkins Dr, Bristol, CT 06010-9011 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
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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).