GABRIELLA SMITH PA (Credential# 742478) 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.
GABRIELLA SMITH PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000729. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 30 Oxford St, Hartford, CT 06105. The current status is active.
| Licensee Name | GABRIELLA SMITH PA |
| Credential ID | 742478 |
| Credential Number | 23.000729 |
| Credential Type | Physician Assistant |
| Business Address |
30 Oxford St Hartford CT 06105 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-03-06 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 228638 | CSP.0029166 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-01-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 30 OXFORD ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gabriella's Deli | 286 W Main St, Meriden, CT 06450 | Operator of Weighing & Measuring Devices | 2006-08-01 ~ 2007-07-31 |
| Delmar J Smith | 137-33 174 St, Jamaica, NY 11434 | Physician Assistant | 2011-08-25 ~ 2012-08-31 |
| Alyson L Smith | Apt 3h/building 2, Norwalk, CT 06850 | Physician Assistant | 1997-04-02 ~ 1998-03-31 |
| Christopher S Brooks | 118 Smith St., Gardner, MA 01440 | Physician Assistant | 2008-03-17 ~ 2009-05-31 |
| Susanne Dk Smith | 622 Millers Way, Simsbury, CT 06070 | Physician Assistant | 2014-08-01 ~ 2015-07-31 |
| Victoria K Smith Pa | 75 Railroad Ave Apt 2k, Milford, CT 06460-9206 | Physician Assistant | 2014-12-01 ~ 2015-11-30 |
| Laura M Smith | 20 York St, New Haven, CT 06510-3220 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Garrett F Smith | 5 Tibbals St, Milford, CT 06460-5649 | Physician Assistant | 2010-02-05 ~ 2010-12-31 |
| Kristine C. Correira | 37 Smith Rd, Charlton, MA 01507-1617 | Physician Assistant | 2016-05-01 ~ 2017-04-30 |
| Karen M Smith | 349 Main Ave Apt 6, Norwalk, CT 06851-1589 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
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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).