SUELLEN A NELSON PA (Credential# 742212) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2013. The license expiration date date is January 31, 2014. The license status is INACTIVE.
SUELLEN A NELSON PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000463. The credential type is physician assistant. The effective date is February 1, 2013. The expiration date is January 31, 2014. The business address is 12 Cross Timbers, Garrison, NY 10524-3413. The current status is inactive.
Licensee Name | SUELLEN A NELSON PA |
Credential ID | 742212 |
Credential Number | 23.000463 |
Credential Type | Physician Assistant |
Business Address |
12 Cross Timbers Garrison NY 10524-3413 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1994-12-16 |
Effective Date | 2013-02-01 |
Expiration Date | 2014-01-31 |
Refresh Date | 2014-05-09 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
162947 | CSP.0022810 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
Street Address | 12 CROSS TIMBERS |
City | GARRISON |
State | NY |
Zip Code | 10524-3413 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lisa A O'rourke | 2 Overbrook Drive, Garrison, NY 10524 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Chad M Andrews | 16 Beverly Warren Road, Garrison, NY 10524 | Veterinarian | 2020-06-01 ~ 2021-05-31 |
Pamella D Morales | 364 Sprout Brook Road, Garrison, NY 10524 | Notary Public Appointment | 2020-02-29 ~ 2025-02-28 |
Alexandra Khoobani | 17 Brookview Lane, Garrison, NY 10524 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
Susan E Phillips | 43 Mountain Drive, Garrison, NY 10524 | Notary Public Appointment | 2020-02-29 ~ 2025-02-28 |
Silva Homes Construction Inc | 1200 Route 9, Garrison, NY 10524 | Home Improvement Contractor | 2015-11-10 ~ 2016-11-30 |
Gail M Sherry | 34 Chapman Road, Garrison, NY 10524 | Notary Public Appointment | 2013-05-01 ~ 2018-04-30 |
Kathleen Dodge | 888 Old Albany Post Road, Garrison, NY 10524 | Notary Public Appointment | 2006-04-25 ~ 2011-04-30 |
Garrison Institute | 14 Mary's Way, Garrison, NY 10524 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Jds Development LLC | 31 Garrison's Landing, Garrison, NY 10524 | New Home Construction Contractor | 2007-10-15 ~ 2009-09-30 |
Find all Licenses in zip 10524 |
City | GARRISON |
Zip Code | 10524 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + GARRISON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bethany Ann Nelson | 30 Lawrence St, Norfolk, MA 02056-1922 | Physician Assistant | ~ |
Patricia Nelson | 221-21 112 Rd, Queens Village, NY 11429 | Physician Assistant | 2011-08-31 ~ 2012-04-30 |
Peter S Nelson Pa | 64 Winding Lane, Avon, CT 06001 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Philip K Nelson | C/o Noss--500 Chase Parkway, Waterbury, CT 06708-3346 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
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 |
Nelson Oil | 401 Mcmahon Dr, Thomaston, CT 06787-1812 | Home Heating Fuel Dealer | 2019-10-01 ~ 2020-09-30 |
Efk of Ct Inc. D/b/a Nelson Amb. Svc. · Efk of Ct, Inc., D/b/a Nelson Amb. Svc. | 208 Quinnipiac Ave, North Haven, CT 06473-3626 | Licensed Ems Organization | 2020-01-01 ~ 2020-12-31 |
Lauren E Gatzke | 41 Nelson St., Webster, MA 01570 | Physical Therapist Assistant | ~ 2006-11-01 |
Beverly A Nelson | 63 Thomas Dr, Manchester, CT 06040-2643 | Physical Therapist Assistant | 2019-07-01 ~ 2020-06-30 |
Heather D Nelson | 67 Old Farms Rd, Willington, CT 06279-1738 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
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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).