KATHRYN CONNOR (Credential# 741813) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KATHRYN CONNOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000064. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 118 Windwood Way, Mystic, CT 06355-2158. The current status is active.
| Licensee Name | KATHRYN CONNOR |
| Credential ID | 741813 |
| Credential Number | 23.000064 |
| Credential Type | Physician Assistant |
| Business Address |
118 Windwood Way Mystic CT 06355-2158 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-07-23 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1360786 | CSP.0063168 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 163620 | CSP.0022100 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE | |
| 164025 | CSP.0021327 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-08-27 - 1995-08-01 | INACTIVE |
| Street Address | 118 WINDWOOD WAY |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-2158 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06355 | |||
| City | MYSTIC |
| Zip Code | 06355 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MYSTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine S O'connor | 131 Redlands St, Springfield, MA 01104-2911 | Physician Assistant | 2012-11-21 ~ 2013-11-30 |
| Sherri L O'connor | 9 Washington Ave, Hamden, CT 06518-3267 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Kristin Aline O'connor | 11 Highland St, Wethersfield, CT 06109-4070 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jacqueline A Connor | 2150 Main St, Springfield, MA 01104-3566 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jennifer Clark-connor | 28 Bramblebrae, South Windsor, CT 06074-2135 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kathryn Ann Janikas | 76 Yorktown Dr., Springfield, MA 01108 | Physician Assistant | ~ |
| Kathryn B Fuss | 515 West Ave Apt 332, Norwalk, CT 06850-4039 | Physician Assistant | 2019-11-15 ~ 2020-11-30 |
| Kathryn M Gaudino | 100 Highland Ave, Eastchester, NY 10709-3600 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kathryn Vignati | 22 E Shore Dr, Niantic, CT 06357 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kathryn Horman Pa | 2 Pratt Ln, East Haddam, CT 06423-1281 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
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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).