TRISTA RAE PENNINGTON (Credential# 1668816) 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.
TRISTA RAE PENNINGTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004561. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 41 Melba Street, Milford, CT 06460. The current status is active.
| Licensee Name | TRISTA RAE PENNINGTON |
| Credential ID | 1668816 |
| Credential Number | 23.004561 |
| Credential Type | Physician Assistant |
| Business Address |
41 Melba Street Milford CT 06460 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-07 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1669395 | CSP.0071599 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-08-07 | 2019-08-07 - 2021-02-28 | ACTIVE |
| Street Address | 41 Melba Street |
| City | Milford |
| State | CT |
| Zip Code | 06460 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | Milford |
| Zip Code | 06460 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Milford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James Alsup | 190 Woosamonsa Rd, Pennington, NJ 08534-4002 | Physician Assistant | 2001-08-30 ~ 2002-09-30 |
| Jose N Fuentes Md | 116 Washington Crossing Pennington Rd, Pennington, NJ 08534 | Physician/surgeon | 2005-10-21 ~ 2006-10-31 |
| Joseph W Pennington · Pennington Roofing Inc | Oak Grove Pl, New Canaan, CT 06840 | Home Improvement Contractor | 1996-01-31 ~ 1996-11-30 |
| Robert P Pennington · Pennington Septic & Drainage | 60 Old Stamford Rd, New Canaan, CT 06840 | Home Improvement Contractor | ~ 1995-12-01 |
| Pennington Roofing Inc | Po Box 386, New Canaan, CT 06840-0386 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Anna A Fontaine | 43 Pennington-lawr Rd, Pennington, NJ 08534 | Pharmacy Intern | 2017-10-24 ~ 2021-09-30 |
| Robert P Pennington · Pennington Excavation | 45 Garibaldi Ln, New Canaan, CT 06840-4243 | Sub-surface Sewage Installer | 2019-08-01 ~ 2020-07-31 |
| Meyer E Pennington | 71 East Avenue, Norwalk, CT 06851 | Certified Public Accountant Firm Permit | 1986-11-14 ~ 1986-12-31 |
| V Subramoni | 8 Michael Way, Pennington, NJ 08534 | Physician/surgeon | 2000-08-18 ~ 2001-05-31 |
| Michele Caragiulo | Po Box 44, Pennington, NJ 08534-0044 | Naturopathic Physician | 2019-07-01 ~ 2020-06-30 |
Please comment or provide details below to improve the information on TRISTA RAE PENNINGTON.
| 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).