STEPHEN C BARRESI PA
Physician Assistant


Address: 29-a Tylerwoods Rd, Haddam, CT 06438

STEPHEN C BARRESI PA (Credential# 742499) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 22, 2006. The license expiration date date is December 31, 2007. The license status is INACTIVE.

Business Overview

STEPHEN C BARRESI PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000750. The credential type is physician assistant. The effective date is December 22, 2006. The expiration date is December 31, 2007. The business address is 29-a Tylerwoods Rd, Haddam, CT 06438. The current status is inactive.

Basic Information

Licensee Name STEPHEN C BARRESI PA
Credential ID 742499
Credential Number 23.000750
Credential Type Physician Assistant
Business Address 29-a Tylerwoods Rd
Haddam
CT 06438
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-06-26
Effective Date 2006-12-22
Expiration Date 2007-12-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
199496 CSP.0027142 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 29-A TYLERWOODS RD
City HADDAM
State CT
Zip Code 06438

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Competitor

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City HADDAM
Zip Code 06438
License Type Physician Assistant
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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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