DAWN BAIRD-IMMERMAN PA-C (Credential# 190989) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.
DAWN BAIRD-IMMERMAN PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026394. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is 23 Stonewell Dr, W Granby, CT 06090. The current status is inactive.
Licensee Name | DAWN BAIRD-IMMERMAN PA-C |
Credential ID | 190989 |
Credential Number | CSP.0026394 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
23 Stonewell Dr W Granby CT 06090 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2003-03-01 |
Expiration Date | 2004-02-28 |
Refresh Date | 2009-01-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
742439 | 23.000690 | Physician Assistant | 1997-12-19 | 2002-08-28 - 2003-05-31 | INACTIVE |
Street Address | 23 STONEWELL DR |
City | W GRANBY |
State | CT |
Zip Code | 06090 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan Ellis | 15 Morningside Drive, West Granby, CT 06090 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Julianne Graham | 11 Broad Hill Road, West Granby, CT 06090 | Nail Technician | ~ |
Marti E Degange | 75 Higley Rd, West Granby, CT 06090 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Michael A Massetti | 263 W. Granby Rd, West Granby, CT 06090 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-01 ~ 2020-08-31 |
Linda V Klumb · Dery | 20 Higley Rd, W Granby, CT 06090 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Glenn F Birge | 267 W Granby Ro, West Granby, CT 06090 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
Valerie Raggio | 88 Simsbury Road, West Granby, CT 06090 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
Joseph R Coppa | 22 Day Street South, West Granby, CT 06090 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Els Y Fonteyne | 9 Stonewall Drive, West Granby, CT 06090 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Margaret W Campbell | 199 Simsbury Road, West Granby, CT 06090 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 06090 |
City | W GRANBY |
Zip Code | 06090 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + W GRANBY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Barry H Immerman | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
William H Baird Md | 324 Pope's Island Rd, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2000-03-02 ~ 2001-02-28 |
Rachel L Baird | 16 Kirkwood Road, Scarborough, ME 04074 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Janyn K Baird | 2606 Quarrystone Ln, Middle Island, NY 11953-1476 | Controlled Substance Registration for Practitioner | 2019-09-24 ~ 2021-02-28 |
Abigail H Baird | 1233 York Ave Apt 20q, New York, NY 10065-6342 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Dawn E Lee | 4 Summer Ln, Marlborough, CT 06447-1462 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dawn M Sepelak | 20 Sycamore Ln, Oxford, CT 06478-1403 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dawn M Wetzel | Po Box 208064, New Haven, CT 06520-8064 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Dawn I Learsy | 26 River Ln, Westport, CT 06880-1925 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Paul Goldberg | 20 Dawn Dr, Westport, CT 06880-2848 | 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).