KAITLYN MARIE STRYCKER (Credential# 1598342) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
KAITLYN MARIE STRYCKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004298. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 80 Los Angeles Ave, Stratford, CT 06614. The current status is active.
Licensee Name | KAITLYN MARIE STRYCKER |
Credential ID | 1598342 |
Credential Number | 23.004298 |
Credential Type | Physician Assistant |
Business Address |
80 Los Angeles Ave Stratford CT 06614 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-10-18 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-05-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1610057 | CSP.0069765 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 80 Los Angeles Ave |
City | Stratford |
State | CT |
Zip Code | 06614 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06614 |
City | Stratford |
Zip Code | 06614 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Stratford |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kaitlyn Marie Farwell | 329 Bitgood Rd, Griswold, CT 06351-1508 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Kaitlyn Rahtelli | 105 Scodon Dr, Ridgefield, CT 06877-1319 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Kaitlyn Mary Roseman | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician Assistant | 2020-04-03 ~ 2020-11-30 |
Kaitlyn E O'brien | 67 Magnolia Ave, Norwalk, CT 06850-3634 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Kaitlyn E Booth Pa-c | 225 E 95th St Apt 31f, New York, NY 10128-4010 | Physician Assistant | 2016-04-01 ~ 2017-03-31 |
Kaitlyn Zugibe | 6 Cristin Ct., Stony Point, NY 10980 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
Jenna Kaitlyn Cordeiro | 32 Hog Hill Rd, East Hampton, CT 06424-1821 | Physician Assistant | ~ |
Kaitlyn Depathy | 751 Long Hill Rd Apt E, Middletown, CT 06457-5068 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Kaitlyn Jane Banks | 1707 S Van Buren St, Amarillo, TX 79102-3057 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Dominic E Vozzella | 19 Marie St, Milford, CT 06460-7632 | Physician Assistant | ~ |
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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).