ELIZABETH GUERIN PA (Credential# 742714) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ELIZABETH GUERIN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000965. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 19 High Meadows Xing, Somers, CT 06071-1141. The current status is active.
Licensee Name | ELIZABETH GUERIN PA |
Credential ID | 742714 |
Credential Number | 23.000965 |
Credential Type | Physician Assistant |
Business Address |
19 High Meadows Xing Somers CT 06071-1141 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2000-06-15 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
238929 | CSP.0029676 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-07-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 19 HIGH MEADOWS XING |
City | SOMERS |
State | CT |
Zip Code | 06071-1141 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Erik R Guerin | 19 High Meadows Xing, Somers, CT 06071 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cheryl L Humble | 3 High Meadows Xing, Somers, CT 06071-1141 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca's Country Pie | 35 Pinedale Rd, Somers, CT 06071 | Bakery | 2020-07-01 ~ 2021-06-30 |
Joseph P Grzelak | 36 Pond Circle, Somers, CT 06071 | Psychologist | 2020-06-01 ~ 2021-05-31 |
Susan P Haight | 51 Whisper Woods Drive, Somers, CT 06071 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Alison Poppe | 121 Florida Rd, Somers, CT 06071 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Emily Pruden | 100 Bobolink Ln, Somers, CT 06071 | Registered Nurse | 2020-06-17 ~ 2020-11-30 |
Matthew D Higgins | 10 Whisper Woods Drive, Somers, CT 06071 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Judith C Napolitano | 55 White Birch Circle, Somers, CT 06071 | Real Estate Salesperson | ~ |
Mary Ellen Bickley | 552 Springfield Rd, Somers, CT 06071 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
J C Real Estate Group LLC | 3 School St, Somers, CT 06071 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Laurie A Mahon · Wirtalla | 531 Hallhill Rd, Somers, CT 06071 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
Find all Licenses in zip 06071 |
City | SOMERS |
Zip Code | 06071 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + SOMERS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jennifer B Guerin | 243 Steele Rd Apt 220, West Hartford, CT 06117-1721 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Michael R Guerin | 243 Steele Rd., West Hartford, CT 06117 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
John E Guerin · Guerin Plumbing & Heating | 20 Kingsbury Rd., Webster, MA 01570 | Plumbing & Piping Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
Guerin Contracting LLC | 17 Red Fox Ln, Rocky Hill, CT 06067 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
Elizabeth C Grasso | Elizabeth Grasso, Stamford, CT 06905 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
Elizabeth Carbonell | 33 Woodfield Rd, Bristol, CT 06010-2655 | Physician Assistant | ~ |
Philip J Guerin Jr | 14 Rye Ridge Plaza, Rye Brook, NY 10573 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Elizabeth J Pecoy | 499 Ridge Rd, Wilbraham, MA 01095-2311 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Elizabeth H Newman | 23 Channel Ave, Norwalk, CT 06854-4814 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Elizabeth D Johnston | 225 Newbury St Apt 3f, Boston, MA 02116-2522 | Physician Assistant | 2017-11-01 ~ 2018-10-31 |
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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).