SARAH E FERNANDES PA
Controlled Substance Registration for Practitioner


Address: 37 Kinross Pl, Yonkers, NY 10703-2017

SARAH E FERNANDES PA (Credential# 454793) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

SARAH E FERNANDES PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040853. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 37 Kinross Pl, Yonkers, NY 10703-2017. The current status is inactive.

Basic Information

Licensee Name SARAH E FERNANDES PA
Credential ID 454793
Credential Number CSP.0040853
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 37 Kinross Pl
Yonkers
NY 10703-2017
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-11-14
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
743598 23.001849 Physician Assistant 2006-10-19 2013-12-01 - 2014-11-30 INACTIVE

Office Location

Street Address 37 KINROSS PL
City YONKERS
State NY
Zip Code 10703-2017

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Competitor

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City YONKERS
Zip Code 10703
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + YONKERS

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Dataset Information

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).

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