TANYA M KAUFFMAN PA (Credential# 422228) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
TANYA M KAUFFMAN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038566. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 86 W Wynd Ter, Middletown, CT 06457-8733. The current status is active.
| Licensee Name | TANYA M KAUFFMAN PA |
| Credential ID | 422228 |
| Credential Number | CSP.0038566 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
86 W Wynd Ter Middletown CT 06457-8733 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-11-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743464 | 23.001715 | Physician Assistant | 2005-11-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 841266 | 70.001532 | Emergency Medical Technician | 2001-05-31 | 2003-04-02 - 2005-03-31 | INACTIVE |
| Street Address | 86 W WYND TER |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-8733 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Larissa Irka Mccormick Gangloff | 110 W Wynd Ter, Middletown, CT 06457-8733 | Behavior Analyst | 2020-07-01 ~ 2021-06-30 |
| Jeffrey R Gebeau | 74 W Wynd Ter, Middletown, CT 06457-8733 | Pharmacy Technician | 2009-01-30 ~ 2010-03-31 |
| Antoinette M Connors | 130 W Wynd Ter, Middletown, CT 06457-8733 | Pharmacy Technician | 2011-04-01 ~ 2012-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tanya D Murtha | 5 Dorrance Pl, Hamden, CT 06518-3309 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tanya Majumder | 65 Dwight St Apt 52, New Haven, CT 06511-5355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tanya Sachdeva | 260 W 54th St, New York, NY 10019 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Tanya Paul Md | 625 Clinton Ave, Bridgeport, CT 06605 | Controlled Substance Registration for Practitioner | 2000-07-11 ~ 2001-02-28 |
| Tanya L Glenn | 39 Church St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-02-14 ~ 2021-02-28 |
| Tanya L T Feke Md | 15 Park Pl, Durham, CT 06422-3413 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Tanya C Ave'lallemant | 5 Sparrow Ln, Unionville, CT 06085-1050 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tanya Ruff Md | 143 Fountain St Apt.12, New Haven, CT 06515-1921 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Tanya D Shah | Bridgeport Hospital, Orange, CT 06610 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Tanya L Belle | 18 Crane Haven, St Philip, 881100 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on TANYA M KAUFFMAN PA.
| 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).