BETH A CROSS (Credential# 742553) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
BETH A CROSS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000804. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 14 Todd's Road, Ridgefield, CT 06877. The current status is active.
| Licensee Name | BETH A CROSS |
| Credential ID | 742553 |
| Credential Number | 23.000804 |
| Credential Type | Physician Assistant |
| Business Address |
14 Todd's Road Ridgefield CT 06877 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-01-01 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1182024 | CSP.0056022 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-08-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 14 TODD'S ROAD |
| City | RIDGEFIELD |
| State | CT |
| Zip Code | 06877 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
| Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
| Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
| Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
| Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
| Find all Licenses in zip 06877 | |||
| City | RIDGEFIELD |
| Zip Code | 06877 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + RIDGEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth A Buyea Pa | 13 Middlefield Rd, Durham, CT 06422 | Physician Assistant | 2006-05-25 ~ 2007-07-31 |
| Ellen Beth | 136 Old Chester Rd, Haddam, CT 06438 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Beth Degarmo | 328 Russell St Apt 2, Madison, WI 53704-5313 | Physician Assistant | 2019-04-01 ~ 2020-03-31 |
| Beth Harple | 10 Homestead Ave, Danbury, CT 06810 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Beth M Rosenberg Pa | 14 Westview Dr, Enfield, CT 06082 | Physician Assistant | 2004-08-09 ~ 2005-09-30 |
| Crystal H Chung Pa | 39 Cross Lane, Cos Cob, CT 06807 | Physician Assistant | 2000-02-21 ~ 2001-02-28 |
| Courtney Beth Stewart | 1751 Earl Core Rd., Morgantown, WV 26505 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Suellen A Nelson Pa | 12 Cross Timbers, Garrison, NY 10524-3413 | Physician Assistant | 2013-02-01 ~ 2014-01-31 |
| Carolyn S Ramos Pa | 73 Cross Hill Rd, Wethersfield, CT 06109-4120 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lou-ellen Macdonald | 275 Cross Street, Norwell, MA 02061 | Physician Assistant | 2005-01-24 ~ 2005-12-31 |
Please comment or provide details below to improve the information on BETH A CROSS.
| 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).