SCOTT F SULLIVAN (Credential# 742343) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 17, 2009. The license expiration date date is June 30, 2010. The license status is INACTIVE.
SCOTT F SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000594. The credential type is physician assistant. The effective date is June 17, 2009. The expiration date is June 30, 2010. The business address is 31 Walnut Road, Barrington, RI 02806. The current status is inactive.
| Licensee Name | SCOTT F SULLIVAN |
| Credential ID | 742343 |
| Credential Number | 23.000594 |
| Credential Type | Physician Assistant |
| Business Address |
31 Walnut Road Barrington RI 02806 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1996-10-18 |
| Effective Date | 2009-06-17 |
| Expiration Date | 2010-06-30 |
| Refresh Date | 2010-10-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 194498 | CSP.0026812 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
| Street Address | 31 Walnut Road |
| City | Barrington |
| State | RI |
| Zip Code | 02806 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chester Orciuch Jr | 23 Salisbury Rd, Barrington, RI 02806 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael James Mckeon | 485 New Meadow Road, Barrington, RI 02806 | Architect | 2020-08-01 ~ 2021-07-31 |
| Dymphna J Egglin | 69 Bay Road, Barrington, RI 02806 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jean Alice Russell | 7 Fountain Avenue, Barrington, RI 02806 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrew Charles Curtis | 3 Smith Ave, Barrington, RI 02806 | Certified Public Accountant License | 2020-04-08 ~ 2020-12-31 |
| Nicole Dian Ulichnie | 3 Glenfield Road, Barrington, RI 02806 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Gerald W Glaser | 32 Highland Avenue, Barrington, RI 02806 | Optometrist | 2020-03-01 ~ 2021-02-28 |
| Kate Haworth | 24 Richmond Ave, Barrington, RI 02806 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Marcia J Donatelli-culligan | 2 Echo Drive, Barrington, RI 02806 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Thomas R Culligan Jr | 2 Echo Dr, Barrington, RI 02806 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 02806 | |||
| City | Barrington |
| Zip Code | 02806 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Barrington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael K Sullivan | 17 Sayles Ave, Lincoln, RI 02865-2133 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Sarah B Sullivan Pa-c | 113 Old Stratfield Rd, Fairfield, CT 06825 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jill M Sullivan | 142 Bellridge Rd, Glastonbury, CT 06033-1462 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Victoria M Sullivan | 93 Lacey Rd, Bethany, CT 06524-3021 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Scott K Sullivan Jr | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Debra M Sullivan Pa | 9 Clearview Dr, Sandy Hook, CT 06482 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Hannah B Sullivan | 22 Harvest Ln, West Hartford, CT 06117-3026 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Scott J Sullivan | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Scott Orrahood | Cmr 402 Box 1171, Apo Ae, 09180 | Physician Assistant | 2012-11-01 ~ 2013-10-31 |
| Scott T Rybak Pa | 15 Thornbush Rd, Rockfall, CT 06481 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on SCOTT F SULLIVAN.
| 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).