MARY ANNE PERSONS (Credential# 742031) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2018. The license expiration date date is July 31, 2019. The license status is INACTIVE.
MARY ANNE PERSONS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000282. The credential type is physician assistant. The effective date is August 1, 2018. The expiration date is July 31, 2019. The business address is 10771 Sage Road, Flagstaff, AZ 86004. The current status is inactive.
| Licensee Name | MARY ANNE PERSONS |
| Credential ID | 742031 |
| Credential Number | 23.000282 |
| Credential Type | Physician Assistant |
| Business Address |
10771 Sage Road Flagstaff AZ 86004 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-10-29 |
| Effective Date | 2018-08-01 |
| Expiration Date | 2019-07-31 |
| Refresh Date | 2019-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 858365 | 70.890683 | Emergency Medical Technician | 1989-05-01 | - 1991-07-01 | INACTIVE |
| Street Address | 10771 Sage Road |
| City | Flagstaff |
| State | AZ |
| Zip Code | 86004 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa Koronkiewicz | 1100 Henry Drive, Flagstaff, AZ 86004 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Denise T Vermilyea | 1617 N. Mariposa Rd, Flagstaff, AZ 86004 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Donald G Crawford | 10955 Margaret Way, Flagstaff, AZ 86004 | Psychologist | 2001-08-08 ~ 2002-09-30 |
| Judith P Sellers | 2795 N Walnut Hls Dr, Flagstaff, AZ 86004 | Registered Nurse | 1998-08-11 ~ 1999-08-31 |
| Julia A Emerson | 4020 North Lugano Way, Flagstaff, AZ 86004 | Radiographer | 2000-09-26 ~ 2001-09-30 |
| Carmen M Ulloa | 4110 E. Village Circle, Flagstaff, AZ 86004 | Professional Counselor | 2008-01-03 ~ 2008-12-31 |
| Loreen J Leroy | 9485 Evening Star Drive, Flagstaff, AZ 86004 | Registered Nurse | 2005-03-28 ~ 2006-03-31 |
| Dawn M Kurtz | 8550 N Pleasant Valley Way, Flagstaff, AZ 86004 | Registered Nurse | 2004-03-24 ~ 2005-04-30 |
| Janet L Krein | 2795 N Walnut Hills Dr #43, Flagstaff, AZ 86004 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Cynthia A Jalet · Vogelsang | 3120 N Grandview Dr, Flagstaff, AZ 86004-1624 | Physical Therapist | 2009-10-01 ~ 2010-09-30 |
| Find all Licenses in zip 86004 | |||
| City | Flagstaff |
| Zip Code | 86004 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Flagstaff |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary-anne Butler | 90 Ave. D, Mechanicville, NY 12118 | Physical Therapist Assistant | ~ 2006-11-01 |
| Ray E Persons | 150 Preston Dr, Meriden, CT 06450 | Physician/surgeon | 1996-01-02 ~ 1997-02-28 |
| Anne M Keck Pa-c | 5 Wildwood Rd, Vernon, CT 06066 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jessica Anne Mcdonald | 1 Primrose Ln Apt 2k, Fords, NJ 08863-1192 | Physician Assistant | ~ |
| Anne M D'amico Pa | 4 Renee Court, Mahopac, NY 10541 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Anne Marie Legrand | 24 Beaver Dam Way, Dennis, MA 02660 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Megan Anne Salm Pa | 92 Bartlett Dr, Madison, CT 06443 | Physician Assistant | 2007-06-22 ~ 2008-08-31 |
| Stacy Anne Henderson Pa | 41 Germantown Rd Ste 101, Danbury, CT 06810-4087 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Anne C Kadlubowski | 85 Seymour Street, Hartford, CT 06106 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Anne J Thomson | 71 Interlaken Road, Stamford, CT 06903 | Physician Assistant | 1999-12-08 ~ 2000-12-31 |
Please comment or provide details below to improve the information on MARY ANNE PERSONS.
| 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).