MARY L WARNER
Physician Assistant


Address: 7 Alden Ave, New Haven, CT 06515-2712

MARY L WARNER (Credential# 742098) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2013. The license expiration date date is July 31, 2014. The license status is EXPIRED APPLICATION.

Business Overview

MARY L WARNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000349. The credential type is physician assistant. The effective date is August 1, 2013. The expiration date is July 31, 2014. The business address is 7 Alden Ave, New Haven, CT 06515-2712. The current status is expired application.

Basic Information

Licensee Name MARY L WARNER
Credential ID 742098
Credential Number 23.000349
Credential Type Physician Assistant
Business Address 7 Alden Ave
New Haven
CT 06515-2712
Business Type INDIVIDUAL
Status EXPIRED APPLICATION
Issue Date 1993-11-05
Effective Date 2013-08-01
Expiration Date 2014-07-31
Refresh Date 2017-01-06

Other licenses

ID Credential Code Credential Type Issue Term Status
161957 CSP.0021675 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 7 Alden Ave
City NEW HAVEN
State CT
Zip Code 06515-2712

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Stefanie Z Roth 7 Alden Ave, New Haven, CT 06515 Physician/surgeon 2001-01-16 ~ 2002-03-31

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Arthur L Sanders 2001 Chapel St, New Haven, CT 06515 Architect 2020-08-01 ~ 2021-07-31
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Jessica L Feinleib 72 Barnett, New Haven, CT 06515 Physician/surgeon 2020-04-01 ~ 2021-03-31
Joyce A Gambrell-jones 241 Alden Ave, New Haven, CT 06515 Registered Nurse 2020-06-01 ~ 2021-05-31
Charmaine Waller 110 Harper Ave, New Haven, CT 06515 Licensed Practical Nurse ~
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Competitor

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City NEW HAVEN
Zip Code 06515
License Type Physician Assistant
License Type + County Physician Assistant + NEW HAVEN

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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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