SHARON L BAXTER PA (Credential# 179273) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.
SHARON L BAXTER PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025525. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is 198 Regency Park Dr, Agawam, MD 01001. The current status is inactive.
| Licensee Name | SHARON L BAXTER PA |
| Credential ID | 179273 |
| Credential Number | CSP.0025525 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
198 Regency Park Dr Agawam MD 01001 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1999-03-01 |
| Expiration Date | 2000-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742369 | 23.000620 | Physician Assistant | 1997-01-10 | 1999-01-04 - 2000-01-31 | INACTIVE |
| Street Address | 198 REGENCY PARK DR |
| City | AGAWAM |
| State | MD |
| Zip Code | 01001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela J Freeman Brown | 1324 Main Street, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ashley Erin Dimauro | 25 Deer Run Road, Agawam, MA 01001 | Registered Nurse | ~ |
| Lou A Fitch | 60 Mallard Circle, Agawam, MA 01001 | Notary Public Appointment | 2015-04-01 ~ 2020-03-31 |
| Maryanne Catanzaro · Catanzaro,leone | 16 Channell Drive, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sunhee Hwang | 54 River Rd, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2021-10-31 |
| Taehoon An | 58 River Rd, Agawam, MA 01001 | Nail Technician | 2020-06-17 ~ 2022-05-31 |
| Ji Hye Safarik | 119 Albert St, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-16 ~ 2022-02-28 |
| Consuelo Ana Leblanc | 39 Hunting Lane, Agawam, MA 01001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sangkeun Yi | 322 Meadow St, Agwam, MA 01001 | Nail Technician | 2020-06-12 ~ 2022-06-30 |
| Kyunghee Koh | 56 River Road, Agawam, MA 01001 | Nail Technician | 2020-06-12 ~ 2021-08-31 |
| Find all Licenses in zip 01001 | |||
| City | AGAWAM |
| Zip Code | 01001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AGAWAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Schnurr Md | Sharon Ob/gyn, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine C Bishop Lnm | Sharon Hospital, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Lynn O Egan Md | Sharon Hospital, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2007-08-13 ~ 2008-02-29 |
| John A Downey Md | 99 Sharon Mountain Rd, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Richard A Bennek | Sharon Hospital, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Syed Hussaini Md | Sharon Hospital, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 1995-12-19 ~ 1995-02-28 |
| Kelly E Baxter | 96 W Shannock Rd, Richmond, RI 02812-1145 | Controlled Substance Registration for Practitioner | 2020-02-24 ~ 2021-02-28 |
| Ksenia Baxter | 308 Colt Hwy Apt 54, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marykate Baxter | 77 Birdseye Rd, Farmington, CT 06032-2427 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew R.g. Baxter Md | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).