LARRY R ALFREY PA
Physician Assistant


Address: 190 Schofield Street, City Island, NY 10464

LARRY R ALFREY PA (Credential# 742438) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 17, 2003. The license expiration date date is March 31, 2004. The license status is INACTIVE.

Business Overview

LARRY R ALFREY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000689. The credential type is physician assistant. The effective date is January 17, 2003. The expiration date is March 31, 2004. The business address is 190 Schofield Street, City Island, NY 10464. The current status is inactive.

Basic Information

Licensee Name LARRY R ALFREY PA
Credential ID 742438
Credential Number 23.000689
Credential Type Physician Assistant
Business Address 190 Schofield Street
City Island
NY 10464
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-12-12
Effective Date 2003-01-17
Expiration Date 2004-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
192329 CSP.0026422 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address 190 SCHOFIELD STREET
City CITY ISLAND
State NY
Zip Code 10464

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Competitor

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City CITY ISLAND
Zip Code 10464
License Type Physician Assistant
License Type + County Physician Assistant + CITY ISLAND

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Dataset Information

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).

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