MATTHEW J KRESGE (Credential# 742156) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 17, 2005. The license expiration date date is September 30, 2006. The license status is INACTIVE.
MATTHEW J KRESGE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000407. The credential type is physician assistant. The effective date is August 17, 2005. The expiration date is September 30, 2006. The business address is 4 Maryland Court, Rexford, NY 12148. The current status is inactive.
| Licensee Name | MATTHEW J KRESGE |
| Credential ID | 742156 |
| Credential Number | 23.000407 |
| Credential Type | Physician Assistant |
| Business Address |
4 Maryland Court Rexford NY 12148 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-12-23 |
| Effective Date | 2005-08-17 |
| Expiration Date | 2006-09-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 4 MARYLAND COURT |
| City | REXFORD |
| State | NY |
| Zip Code | 12148 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn Isopo | 32 Bradt Road, Rexford, NY 12148 | Registered Nurse | 2020-03-03 ~ 2020-12-31 |
| Mohammad A Osmani | 15 Addison Way, Rexford, NY 12148 | Pharmacist | 2020-02-02 ~ 2022-01-31 |
| John S Stevens | 6 Taylor Dr, Rexford, NY 12148 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Kenneth D Syvertsen | 3 Clute Circle, Rexford, NY 12148 | Architect | 2019-08-01 ~ 2020-07-31 |
| Mark A Phillips | 4 Brian Dr, Rexforp, NY 12148 | Home Improvement Salesperson | 2005-03-01 ~ 2005-11-30 |
| Linda K Walmet | 23 Bradt Rd, Rexford, NY 12148 | Registered Nurse | 1996-03-21 ~ 1997-05-31 |
| George F Simor | 4 Lynn Court, Rexford, NY 12148 | Physician/surgeon | 1998-01-07 ~ 1999-02-28 |
| Robert P Dicocco | 43 Garnsey Rd, Rexford, NY 12148 | Heating, Piping & Cooling Limited Contractor | ~ 1995-10-01 |
| John M Gionet | 971 Grooms Rd, Rexford, NY 12148 | Pharmacist | ~ |
| Amy E O'dea | 19 Main Street, Rexford, NY 12148 | Registered Nurse | 1994-02-22 ~ 1994-09-30 |
| Find all Licenses in zip 12148 | |||
| City | REXFORD |
| Zip Code | 12148 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + REXFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Kresge Pa | Mansfield Professional Park, Storrs, CT 06268 | Physician Assistant | 2002-10-08 ~ 2003-08-31 |
| Hal Kresge Foundation | Po Box 349, Broad Brook, CT 06016-0349 | Public Charity-exempt From Financial Requirements | ~ |
| Kresge Lebar Drug & Surgical | 425 Main Street, Stroudsburg, PA 18360 | Nonresident Pharmacy | 2010-09-08 ~ 2011-08-31 |
| Kresge Lebar Drug & Surgical | 425 Main St, Stroudsburg, PA 18360-2462 | Nonresident Pharmacy | 2012-07-09 ~ 2013-08-31 |
| Matthew Champeau Pa | 234 Spielman Hwy, Burlington, CT 06013-2010 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Matthew A Bouteiller Pa | 50 Union St Apt 9, Northampton, MA 01060-3254 | Physician Assistant | 2012-11-01 ~ 2013-10-31 |
| Matthew D Nankin | 138 Fair St, Wallingford, CT 06492-4210 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Matthew A Sleboda | 5 Finn Ln, Plainfield, CT 06374-2062 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Matthew Wieland | 59 Maitland Rd, Stamford, CT 06906-2104 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Matthew E. Milstein | Psc 475 Box 1315, Fpo Yokohama, 96350 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
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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).