ALLISON N HALLBACH (Credential# 1601476) 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.
ALLISON N HALLBACH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004308. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 207 George St, Middletown, CT 06457. The current status is active.
| Licensee Name | ALLISON N HALLBACH |
| Credential ID | 1601476 |
| Credential Number | 23.004308 |
| Credential Type | Physician Assistant |
| Business Address |
207 George St Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-25 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1611110 | CSP.0069781 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1221194 | 70.017845 | Emergency Medical Technician | 2014-07-09 | 2014-07-09 - 2017-03-31 | INACTIVE |
| Street Address | 207 George St |
| City | Middletown |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Iwona Lacka | 207 George St, Middletown, CT 06457-3590 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Adam Thomas Sola | 207 George St, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Matthew J Seickel | 207 George St, Middletown, CT 06457-3590 | Wholesaler Salesman | 2017-02-01 ~ 2019-01-31 |
| Sean M Lang | 207 George St, Middletown, CT 06457 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Lisa D Mccoy | 207 George St, Middletown, CT 06457 | Dentist | 2012-07-01 ~ 2013-06-30 |
| Julia M Friedman Pa | 207 George St, Middletown, CT 06457 | Physician Assistant | 2010-07-01 ~ 2011-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | Middletown |
| Zip Code | 06457 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Middletown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allison L Valley Pa | 445 Camp St, Bristol, CT 06010 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Allison L Bailey | 282 Washington St, Hartford, CT 06106-3322 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Allison L Baysol | 3 Paul St # 1, Brunswick, ME 04011-2807 | Physician Assistant | 2015-12-02 ~ 2016-12-31 |
| Kristen A Baker | 4 Allison Dr, Madison, CT 06443-2174 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Allison E Taylor | 206 Camp Street, Middletown, CT 06457 | Physician Assistant | 1993-12-01 ~ 1994-04-30 |
| Allison Y Adajian | 779 Mountain Rd, West Hartford, CT 06117-1141 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Allison R Ayers | 1330 West Ave, Miami Beach, FL 33139-0900 | Physician Assistant | 2017-07-01 ~ 2018-06-30 |
| Allison Leigh Verity | 912 Vauxhall Street Ext, Quaker Hill, CT 06375-1035 | Physician Assistant | ~ |
| Ernest E Hallbach | 32 Winthrop Rd., Hebron, CT 06248 | Athletic Trainer | 2019-12-01 ~ 2020-11-30 |
| Debra C Hallbach | 32 Winthrop Rd, Hebron, CT 06248 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on ALLISON N HALLBACH.
| 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).