LAUREN DALE (Credential# 1597567) 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.
LAUREN DALE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004284. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 7 Acadia Lane, Shelton, CT 06484. The current status is active.
| Licensee Name | LAUREN DALE |
| Credential ID | 1597567 |
| Credential Number | 23.004284 |
| Credential Type | Physician Assistant |
| Business Address |
7 Acadia Lane Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-16 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1608042 | CSP.0069736 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 7 Acadia Lane |
| City | Shelton |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jan Carlos Estevez | 7 Acadia Lane, Shelton, CT 06484 | Notary Public Appointment | 2018-10-01 ~ 2023-10-31 |
| Jaime Heltzel | 7 Acadia Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Annemarie G Blake | 7 Acadia Lane, Shelton, CT 06484 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Samantha R Calogero | 7 Acadia Lane, Shelton, CT 06484 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Savvas Eleftherios Mendrinos | 7 Acadia Lane, Shelton, CT 06484 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Katherine Anne Sopko | 7 Acadia Lane, Shelton, CT 06484 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Johanna Mary Tang | 7 Acadia Lane, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-07-26 ~ 2021-02-28 |
| Christopher James Gardella | 7 Acadia Lane, Shelton, CT 06484 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Yan Mei Tan | 7 Acadia Lane, Shelton, CT 06484 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Imhyeong Sohn | 7 Acadia Lane, Shelton, CT 06484 | Real Estate Salesperson | 2019-05-22 ~ 2020-05-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | Shelton |
| Zip Code | 06484 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Shelton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Meagan Sheakoski | 127 Dale Rd, Wethersfield, CT 06109 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Lauren V. Boggs | 45 Ley St, New Haven, CT 06512-3921 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Jennifer Coleman Cobbs | 1 North Dale Mabry Hwy, Tampa, FL 33609 | Physician Assistant | 2018-04-03 ~ 2019-04-30 |
| Lauren E Meade | 1620 W Cullom Ave Apt 3, Chicago, IL 60613-1216 | Physician Assistant | ~ |
| Lauren Sloss | 12 Douglas Dr, Cumberland, RI 02864-1519 | Physician Assistant | 2018-07-02 ~ 2019-06-30 |
| Lauren Johnson | 9356 Nw 8th Circle, Plantation, FL 33324 | Physician Assistant | ~ |
| Lauren Kess | 105 Winterberry Way, Torrington, CT 06790-2595 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lauren M Cohen | 282 Washington St, Hartford, CT 06106 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lauren E Vento Pa-c | 19 Deerfield St, Norwalk, CT 06854-4005 | Physician Assistant | 2010-08-01 ~ 2011-07-31 |
| Lauren C Schmidtberg | 282 Washington St, Hartford, CT 06106-3322 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).