STEPHEN P POLLITT PA (Credential# 742586) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 24, 2004. The license expiration date date is February 28, 2006. The license status is INACTIVE.
STEPHEN P POLLITT PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000837. The credential type is physician assistant. The effective date is December 24, 2004. The expiration date is February 28, 2006. The business address is 129 Kensington Circle, Warner Robins, GA 31093. The current status is inactive.
| Licensee Name | STEPHEN P POLLITT PA |
| Credential ID | 742586 |
| Credential Number | 23.000837 |
| Credential Type | Physician Assistant |
| Business Address |
129 Kensington Circle Warner Robins GA 31093 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1999-02-05 |
| Effective Date | 2004-12-24 |
| Expiration Date | 2006-02-28 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 210965 | CSP.0028044 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 129 KENSINGTON CIRCLE |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31093 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ylencia Dysonne Butler Jackson | 306 Meadowridge Dr, Warner Robins, GA 31093-2128 | Registered Nurse | ~ |
| Steven A Lewis | 320 Oklahoma Ave, Warner Robins, GA 31093-2430 | Engineer-in-training | ~ |
| Nationwide Home Medical Supply Inc | 405 Duke Ave, Warner Robins, GA 31093-2711 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2016-07-01 ~ 2017-06-30 |
| Allison V Laulusa | 105 Berkley Cir, Warner Robins, GA 31093-8566 | Registered Nurse - Temporary | 2013-12-06 ~ 2014-04-04 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine O Fowler | 212 Fairways Dr, Warner Robins, GA 31088-7541 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Marissa Lynne Parlee | 712 Loudon Hill Dr, Warner Robins, GA 31088 | Registered Nurse | ~ |
| Mary Caroline Smith | 200 Crestview Church Rd Apt 1202, Warner Robins, GA 31088-3165 | Registered Nurse | ~ |
| Joan Mazzarella | 103 Northumberland Way, Warner Robins, GA 31088 | Notary Public Appointment | 2010-06-01 ~ 2015-05-31 |
| Lori B Armstrong | 105 Steeplechase Run, Warner Robins, GA 31088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justyn E King | 205 Valley View Dr, Warner Robins, GA 31088-5315 | Pharmacy Intern | 2012-09-20 ~ 2015-09-30 |
| Erin Chiappetta | 105 Cheshire Dr, Warner Robins, GA 31088-1124 | Registered Nurse | 2013-12-01 ~ 2014-11-30 |
| Jenna R Franz | 109 Lake Front Dr, Warner Robins, GA 31088-6017 | Registered Nurse | 2013-12-18 ~ 2014-07-31 |
| Elena Vazquez-hutwagner | 103 Abbotsbury Ln, Warner Robins, GA 31088-1137 | Registered Nurse | 2013-10-01 ~ 2014-09-30 |
| Ruth F Kirk | 255 Somerset Street, Warner Robins, GA 31088 | Respiratory Care Practitioner | 2004-04-12 ~ 2005-05-31 |
| Find all Licenses in WARNER ROBINS | |||
| City | WARNER ROBINS |
| Zip Code | 31093 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WARNER ROBINS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen A Pollani | 121 Fan Hill Rd, Monroe, CT 06468-1830 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Stephen C Barresi Pa | 29-a Tylerwoods Rd, Haddam, CT 06438 | Physician Assistant | 2006-12-22 ~ 2007-12-31 |
| Stephen Weyel | 7 Cypress Dr, Branford, CT 06405-5906 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Stephen Paul Callahan | 114 Woodland St, Hartford, CT 06105 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Stephen J Burgess Pa | 218 Russell Street, Hadley, MA 01035 | Physician Assistant | 1998-09-08 ~ 1999-09-30 |
| Stephen Sales | 13 Salem Road, Prospect, CT 06712 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Stephen Paul Welch | 14 Memory Ln, Waterford, CT 06385-1966 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Stephen M Young | 19 Stony Brook Dr, Suffield, CT 06078-2372 | Physician Assistant | 2012-08-06 ~ 2013-03-31 |
| Stephen A Smolewski | 25 Field Street, Stamford, CT 06906 | Physician Assistant | 2019-04-01 ~ 2020-03-31 |
| Stephen M Lewis | 2958 Valley Ridge Dr, Decatur, GA 30032-5768 | Physician Assistant | 2017-11-01 ~ 2018-10-31 |
Please comment or provide details below to improve the information on STEPHEN P POLLITT PA.
| 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).