KAREN M MARLETT PA (Credential# 742702) 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.
KAREN M MARLETT PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000953. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 399 Woodhouse Ave, Wallingford, CT 06492-5415. The current status is active.
| Licensee Name | KAREN M MARLETT PA |
| Credential ID | 742702 |
| Credential Number | 23.000953 |
| Credential Type | Physician Assistant |
| Business Address |
399 Woodhouse Ave Wallingford CT 06492-5415 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-04-20 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 366037 | CSP.0034792 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-04-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 869106 | 70.960089 | Emergency Medical Technician | 1995-12-13 | - 1997-12-31 | INACTIVE |
| Street Address | 399 WOODHOUSE AVE |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-5415 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen D Rosen | 51 Eastbrook Ter, Berlin, CT 06037-2287 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Karen S Piciw | 45 School St, Shelton, CT 06484 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Karen M Smith | 349 Main Ave Apt 6, Norwalk, CT 06851-1589 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
| Karen C Fraser | 28 Country Club Lane, Easton, CT 06612 | Physician Assistant | 2005-06-29 ~ 2006-07-31 |
| Karen Nieradka | 2619 W. Lutz Lake Fern Rd, Lutz, FL 33558 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
| Karen Uliano | 265 Karen Avenue, Stratford, CT 06497 | Family Child Care Assistant | 1998-11-30 ~ 1998-11-30 |
| Deborah J Marlett | 5018 W. Winnemac, Chicago, IL 60630 | Registered Nurse | 2013-11-01 ~ 2014-10-31 |
| Charles D Marlett · Twa Airlines LLC | Bradley International Airport, Windsor Locks, CT 06096 | Airline Liquor | 2002-09-19 ~ 2003-09-06 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Charles D Marlett · American Eagle Airlines | Bradley Int'l Airport, Windsor Locks, CT 06096 | Airline Liquor | ~ |
Please comment or provide details below to improve the information on KAREN M MARLETT 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).