SEAN BENNETT EDEN (Credential# 1675727) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
SEAN BENNETT EDEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004597. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 184 Shannock Rd, South Kingstown, RI 02879-4709. The current status is active.
| Licensee Name | SEAN BENNETT EDEN |
| Credential ID | 1675727 |
| Credential Number | 23.004597 |
| Credential Type | Physician Assistant |
| Business Address |
184 Shannock Rd South Kingstown RI 02879-4709 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-18 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1692583 | CSP.0072450 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-09-19 | 2019-09-19 - 2021-02-28 | ACTIVE |
| Street Address | 184 SHANNOCK RD |
| City | SOUTH KINGSTOWN |
| State | RI |
| Zip Code | 02879-4709 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha A Franco | 7 Watch Hill Way, South Kingstown, RI 02879 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jamie Lynne Vangieri | 13 Pier Marketplace, Narragansett, RI 02879 | Real Estate Salesperson | 2020-06-13 ~ 2021-05-31 |
| John P Walsh | 285 Iacuele Dr, S Kingstown, RI 02879 | Architect | 2020-08-01 ~ 2021-07-31 |
| John E Blair | 42 Emerson Way, South Kingstown, RI 02879 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Brian Mcdonald | 51c Old Shannock Rd, South Kingstown, RI 02879 | Real Estate Salesperson | 2019-10-09 ~ 2020-05-31 |
| Alexander Mcgovern Champagne | 51a Old Shannock Rd., South Kingstown, RI 02879 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bruce E Thunberg | 501 Matunuck School House Rd, Wakefield, RI 02879 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ruth Chappell Meeks | 60e Chappell Road, Wakefield, RI 02879 | Registered Nurse | 2020-05-27 ~ 2020-11-30 |
| Kristin E Schwab | 61 Matunuck School House Road, Wakefield, RI 02879 | Landscape Architect | 2018-08-01 ~ 2019-07-31 |
| Nima Behazin | 4959 Tower Hill Rd, Wakefield, RI 02879 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 02879 | |||
| City | SOUTH KINGSTOWN |
| Zip Code | 02879 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SOUTH KINGSTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan Bennett | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Donna E Riker Pa-c | 17 Bennett St Apt 3, Stamford, CT 06907-2003 | Physician Assistant | 2008-07-16 ~ 2009-07-31 |
| Robyn A Bennett | 90 Seiter Hill Rd, Wallingford, CT 06492-3242 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
| Ciara Christine Bennett | 3 New Holland Dr, Cohoes, NY 12047-4937 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Sean A Lynch Pa-c | 160 Ardmore St, Hamden, CT 06517 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Sean P Dunn | 7030 Los Arboles Ave, Atascadero, CA 93422-4100 | Physician Assistant | 2018-07-01 ~ 2019-06-30 |
| Sean M. Mcgovern | 32 Grace Lane, Portland, CT 06480 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Sean Phillips | 307 State Route 187, Milan, TN 38358-6253 | Physician Assistant | 2019-06-01 ~ 2020-05-31 |
| Sean Edward Hoffman | 311 E Main St, Westfield, MA 01085-3307 | Physician Assistant | 2020-05-01 ~ 2021-05-31 |
| Sean A Miner Pa | 314 Fern St, West Hartford, CT 06119 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on SEAN BENNETT EDEN.
| 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).