PAMELA R FANNING PA (Credential# 742460) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
PAMELA R FANNING PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000711. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 7 Whitney Street, Westport, CT 06880. The current status is active.
| Licensee Name | PAMELA R FANNING PA |
| Credential ID | 742460 |
| Credential Number | 23.000711 |
| Credential Type | Physician Assistant |
| Business Address |
7 Whitney Street Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-01-16 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 189766 | CSP.0026521 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 7 WHITNEY STREET |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fanning Builders LLC | 6 Somers La, Oxford, CT 06478 | Home Improvement Contractor | 2002-12-02 ~ 2003-11-30 |
| Pamela J Kuzia | 84 Fanning Road, Ledyard, CT 06339 | Notary Public Appointment | 1992-04-01 ~ 1997-03-31 |
| Pamela A Lambert Pa-c | 77 Prospect St Apt T6, Stamford, CT 06901-1606 | Physician Assistant | 2010-05-01 ~ 2011-04-30 |
| Pamela N Warren | 56 Franklin Street, Waterbury, CT 06705 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Pamela A Brewster Pa | 1140 Marion St Apt #3, Denver, CO 80218 | Physician Assistant | 2008-11-03 ~ 2009-08-31 |
| Pamela J Condon | Integrated Anesthesia Associates, Hartford, CT 06106 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Pamela Jackson | 120 Park Lane Road, New Milford, CT 06776 | Physician Assistant | 2020-05-24 ~ 2021-01-31 |
| Pamela L Frappier | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074-5560 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Pamela A Whibby | 4204 Dewfield Drive, Wilson, NC 27896 | Physician Assistant | 2015-02-01 ~ 2016-01-31 |
| Cathy Fanning | 1945 Lakepointe Dr, Lewisville, TX 75057-6424 | Physician/surgeon | ~ |
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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).