LIANE HENNESSEY PA (Credential# 741896) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
LIANE HENNESSEY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000147. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 5 Hyer Dr., Simsbury, CT 06070. The current status is active.
| Licensee Name | LIANE HENNESSEY PA |
| Credential ID | 741896 |
| Credential Number | 23.000147 |
| Credential Type | Physician Assistant |
| Business Address |
5 Hyer Dr. Simsbury CT 06070 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-10-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161942 | CSP.0021647 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 5 Hyer Dr. |
| City | Simsbury |
| State | CT |
| Zip Code | 06070 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | Simsbury |
| Zip Code | 06070 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Simsbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Hennessey · Hennessey | 69 Staples Rd, Easton, CT 06612 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
| Liane E Philpotts | 103 Quail Run, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Daniel Lee Hennessey IIi · Hennessey Contracting | 52 N Ridgeland Rd, Wallingford, CT 06492-2926 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Hennessey Construction LLC | 7 Ragnell Rd, West Greenwich, RI 02817-1666 | Home Improvement Contractor | 2018-09-18 ~ 2019-11-30 |
| William E Hennessey | 322 Ohio Ave, W Springfield, MA 01089 | Physician/surgeon | 2000-09-05 ~ 2001-10-31 |
| John F Hennessey | 48 Spruce St, Meriden, CT 06451 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
| Kerrilynn Carney Hennessey | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| James V Hennessey | Beth Israel Deaconness Mc, Boston, MA 02215 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Alex M Hennessey | 21 Sleepy Hollow Rd, Sandy Hook, CT 06482-1095 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
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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).