DAWN MARIE O'REILLY PA (Credential# 741966) 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.
DAWN MARIE O'REILLY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000217. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 67 Wanda Lane, Middletown, CT 06457-8717. The current status is active.
| Licensee Name | DAWN MARIE O'REILLY PA |
| Credential ID | 741966 |
| Credential Number | 23.000217 |
| Credential Type | Physician Assistant |
| Business Address |
67 Wanda Lane Middletown CT 06457-8717 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-10-15 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 170865 | CSP.0024127 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 856736 | 70.870791 | Emergency Medical Technician | 1987-06-26 | - 1996-06-30 | INACTIVE |
| Street Address | 67 WANDA LANE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-8717 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harrison C Chan | 25 Wanda Ln, Middletown, CT 06457-8717 | Real Estate Salesperson | 2020-06-10 ~ 2021-05-31 |
| 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 | Physician Assistant |
| License Type + County | Physician Assistant + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dawn M Berguson · Dawn Marie's | 50 1/2 Locust Ave, Danbury, CT 06810 | Home Improvement Contractor | 1998-12-17 ~ 1999-11-30 |
| Brent M Reilly Pa-c | 1796 Stone Ave, East Meadow, NY 11554-1007 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Kajal Zaveri | 7 Dawn Ln, Hicksville, NY 11801-5718 | Physician Assistant | 2010-03-31 ~ 2010-07-31 |
| Dawn M Rathbone Pa-c | 54 Prospect St, East Woodstock, CT 06244 | Physician Assistant | 2007-01-29 ~ 2008-03-31 |
| Dawn A Klinner-albright Pa | 41 Tuttle Lane, Wells, ME 04090 | Physician Assistant | 2012-08-01 ~ 2013-07-31 |
| Daysha Dawn Haxton | 435 Trout Brook Dr, West Hartford, CT 06110-1037 | Physician Assistant | ~ |
| Laura Reilly Sievering Pa-c | 25 Somers Hill Circle, Somers, CT 06071 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Angelina Dawn Holt | 5007 East Santiago Court, Sierra Vista, AZ 85635 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Dominic E Vozzella | 19 Marie St, Milford, CT 06460-7632 | Physician Assistant | ~ |
| Natalie Marie Concannon | 910 E 26th St, Minneapolis, MN 55407 | Physician Assistant | ~ |
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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).