CAROL KEYSOR (Credential# 742102) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 24, 2000. The license expiration date date is September 30, 2001. The license status is INACTIVE.
CAROL KEYSOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000353. The credential type is physician assistant. The effective date is October 24, 2000. The expiration date is September 30, 2001. The business address is 13113 White Cementary Road, Hannibal, NY 13074. The current status is inactive.
| Licensee Name | CAROL KEYSOR |
| Credential ID | 742102 |
| Credential Number | 23.000353 |
| Credential Type | Physician Assistant |
| Business Address |
13113 White Cementary Road Hannibal NY 13074 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-11-05 |
| Effective Date | 2000-10-24 |
| Expiration Date | 2001-09-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 13113 WHITE CEMENTARY ROAD |
| City | HANNIBAL |
| State | NY |
| Zip Code | 13074 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank Lackey | 23 Patrick Rd, Hannibal, NY 13074 | Registered Nurse | 2020-03-17 ~ 2020-10-31 |
| Paul F Gorman | 13162 Rt 176, Hannibal, NY 13074 | Pharmacist | 2011-02-01 ~ 2012-01-31 |
| Faye L Kimball | Rd #3, Hannibal, NY 13074 | Registered Nurse | 1992-05-27 ~ 1993-05-31 |
| Jeffrey Erskin | Po Box 195, Hannibal, NY 13074-0195 | Asbestos Abatement Supervisor | 2012-05-29 ~ 2013-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Snyder | 120 Terrace Ln, Hannibal, MO 63401-2768 | Physician/surgeon | ~ |
| Phoebe W Kagunda | 583 Clover Road, Hannibal, MO 63401 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Karen E Floyd | 3417 St Mary Ave, Hannibal, MO 63401 | Hairdresser/cosmetician | 2001-07-23 ~ 2002-04-30 |
| City | HANNIBAL |
| Zip Code | 13074 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HANNIBAL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol F Fiore | 524 Henry St., Brooklyn, NY 11231-2855 | Physician Assistant | 2019-05-01 ~ 2020-04-30 |
| Carol Ekonomides | 9 Candlewood Dr, Danbury, CT 06811-3139 | Physician Assistant | 2019-06-01 ~ 2020-05-31 |
| Carol U Gamble | 45 Zaccheus Mead Ln, Greenwich, CT 06831 | Physician Assistant | 1996-03-04 ~ 1997-03-31 |
| Ya-ching Carol Bonura | 106 Guinevere Ridge, Cheshire, CT 06410 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Carol Rizzolo Pa | 476 Wood Hill Road, Cheshire, CT 06410 | Physician Assistant | 2010-11-01 ~ 2011-10-31 |
| Nicole-christin Huynh Dujon | 7 Carol Rd, West Hartford, CT 06110-1204 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Carol J Robbins · Carol Staebel | 915 Kent Court, Ballwin, MO 63011 | Occupational Therapist Assistant | 2008-08-14 ~ 2009-07-31 |
| 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 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
Please comment or provide details below to improve the information on CAROL KEYSOR.
| 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).