TERRY SPAHR ODONNELL (Credential# 742393) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
TERRY SPAHR ODONNELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000644. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 69 North Stone Street, West Suffield, CT 06093. The current status is active.
| Licensee Name | TERRY SPAHR ODONNELL |
| Credential ID | 742393 |
| Credential Number | 23.000644 |
| Credential Type | Physician Assistant |
| Business Address |
69 North Stone Street West Suffield CT 06093 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-02-28 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 180734 | CSP.0025446 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1402411 | 23 | Physician Assistant | - | PENDING |
| Street Address | 69 North Stone Street |
| City | West Suffield |
| State | CT |
| Zip Code | 06093 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maryanne Hill | 69 North Stone Street, West Suffield, CT 06093 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Grillo · Grillo Brothers | 188 Birch Rd, West Suffield, CT 06093 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Pediatric Prosthetic Specialists LLC | 75c Hazard Ave, Enfield, CT 06093 | Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Lawrence P Kraiza | 279 South Grand St., West Suffield, CT 06093 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Victoria I Nocik | 1091 Sheldon Street, West Suffield, CT 06093 | Real Estate Salesperson | ~ |
| Bojana Dukanovic | 282 Colony Rd, West Suffield, CT 06093 | Architect | 2020-08-01 ~ 2021-07-31 |
| Heather Van Deusen | 3749 Phelps Rd, W Suffield, CT 06093 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sydney J Waicunas | 1728 Mountain Road, West Suffield, CT 06093 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2022-03-31 |
| Alaina V De Cesare · Andreyev | 55 Ridgewood Drive, West Suffield, CT 06093 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina D Bray-smith | 2 South Grand Street, West Suffield, CT 06093 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Julie Kristin Brookman | 2 Warnertown Road, West Suffield, CT 06093 | Esthetician | ~ |
| Find all Licenses in zip 06093 | |||
| City | West Suffield |
| Zip Code | 06093 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + West Suffield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terry Spahr | 51 Boston Post Rd Unit 1, Madison, CT 06443 | Medication Administration Certification | 1993-10-21 ~ 1995-10-20 |
| Terry Y Lin | 37- 05 30th Avenue, Apt 6, Astoria, NY 11103 | Physician Assistant | ~ |
| Yusef Terry | 1152 Mae Street, Hummelstown, PA 17036-9185 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Cooke & Odonnell | 2574 Main St, Bridgeport, CT 06606 | Optical Selling Permit | 1997-06-27 ~ 1998-08-31 |
| Terry Inc | 74 Beacon Rd, Bethany, CT 06524 | Home Improvement Contractor | 1997-12-01 ~ 1998-11-30 |
| Brian O'donnell · Brian Odonnell Cstm Hms&addtns | 84 Holcomb St, Simsbury, CT 06070 | Home Improvement Contractor | 2004-12-01 ~ 2005-02-10 |
| 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 |
| Bonnie G Davis | 3 Terry Rd, Prospect, CT 06712-1126 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Sherri A Terry | 19 Dove Dr, Meriden, CT 06450 | Occupational Therapist Assistant | 1991-07-25 ~ 1993-07-31 |
| Kimberly L Rutledge | 4 Terry Ln, Plainfield, CT 06374-1441 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on TERRY SPAHR ODONNELL.
| 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).