SARA LEWIS (Credential# 2035025) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 19, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
SARA LEWIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004794. The credential type is physician assistant. The effective date is April 19, 2020. The expiration date is April 30, 2021. The business address is 45 Fletcher Ln, Shelburne, VT 05482-7597. The current status is active.
| Licensee Name | SARA LEWIS |
| Credential ID | 2035025 |
| Credential Number | 23.004794 |
| Credential Type | Physician Assistant |
| Business Address |
45 Fletcher Ln Shelburne VT 05482-7597 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-19 |
| Effective Date | 2020-04-19 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2036612 | CSP.0073712 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-04-20 | 2020-04-20 - 2021-02-28 | ACTIVE |
| Street Address | 45 FLETCHER LN |
| City | SHELBURNE |
| State | VT |
| Zip Code | 05482-7597 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth A Bundock | 160 Pine Haven Shores Lane, Shelburne, VT 05482 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Emma D Williams | 123 Grey Rock Road, Shelburne, VT 05482 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Michael Nathan Boggs | 1141 Falls Rd, Shelburne, VT 05482 | Physician/surgeon | ~ |
| Cory M Savino | 287 Locust Hill Rd, Shelburne, VT 05482 | Registered Nurse | 2019-03-05 ~ 2020-03-31 |
| Morgan L Marlow | 67 Hunters Way, Shelburne, VT 05482 | Engineer-in-training | 2017-09-12 ~ 2027-09-12 |
| Maya E Shapiro-miller | 94 Butternut Lane, Shelburne, VT 05482 | Master's Level Social Worker | 2015-01-07 ~ 2015-07-31 |
| Audrey W Sweeten | 2110 The Terraces, Shelburne, VT 05482 | Real Estate Broker | 2006-04-01 ~ 2007-03-31 |
| Domenico Grasso | 40 Old Stage Lane, Shelburne, VT 05482 | Professional Engineer | 2013-02-01 ~ 2014-01-31 |
| Unibrew Usa Inc | 145 Pine Haven Shores Road Ste 2013, Shelburne, VT 05482 | Out of State Shipper Beer | 2010-08-11 ~ 2011-08-10 |
| Wendy E Gerle | 31 Edward Dr., Shelburne, VT 05482 | Licensed Clinical Social Worker | 2000-07-24 ~ 2001-07-31 |
| Find all Licenses in zip 05482 | |||
| City | SHELBURNE |
| Zip Code | 05482 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SHELBURNE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sara I Kim | 4754 N. Jennys Rd., Indianapolis, IN 46228 | Physician Assistant | 2000-01-12 ~ 2000-10-31 |
| Sara Attia | 140-14 Jewel Ave., Queens, NY 13367 | Physician Assistant | 2019-10-17 ~ 2020-06-30 |
| Sara J Mester | 403 Earl Ave, New Kensington, PA 15068-4842 | Physician Assistant | 2016-09-01 ~ 2017-08-31 |
| Sara Naseer | 7 Braeburn, Glastonbury, CT 06033-1443 | Physician Assistant | 2020-04-15 ~ 2021-01-31 |
| Sara Graney | 50 Closter Rd, Palisades, NY 10964 | Physician Assistant | 2018-11-20 ~ 2019-07-31 |
| Sara M Kwon | 115 Paulding St, Fairfield, CT 06824-6609 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Sara J Wallace Pa | 512 Scenic Rd, Orange, CT 06477 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Sara A Mager | 46 Murray Dr, Gorham, ME 04038-4105 | Physician Assistant | 2017-07-01 ~ 2018-06-30 |
| Sara J Rider | 150 Sodom Street, Granville, MA 01034 | Physician Assistant | 2001-01-04 ~ 2001-10-31 |
| Sara E Chaffee | 50 Kensington St, Feeding Hills, MA 01030-2218 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on SARA LEWIS.
| 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).