MARY B MCCHRYSTAL PA (Credential# 742857) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 2, 2003. The license expiration date date is June 30, 2004. The license status is INACTIVE.
MARY B MCCHRYSTAL PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001108. The credential type is physician assistant. The effective date is May 2, 2003. The expiration date is June 30, 2004. The business address is 419 Fountain St, New Haven, CT 06515. The current status is inactive.
| Licensee Name | MARY B MCCHRYSTAL PA |
| Credential ID | 742857 |
| Credential Number | 23.001108 |
| Credential Type | Physician Assistant |
| Business Address |
419 Fountain St New Haven CT 06515 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-10-30 |
| Effective Date | 2003-05-02 |
| Expiration Date | 2004-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 291951 | CSP.0031638 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 419 FOUNTAIN ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
| Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
| Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06515 | |||
| City | NEW HAVEN |
| Zip Code | 06515 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Holmes Pa | 188 Woodhaven, Glastonbury, CT 06033 | Physician Assistant | 2002-03-12 ~ 2003-04-30 |
| Mary E Summers | 550 Nut Plains Rd, Guilford, CT 06437 | Physician Assistant | 1999-11-23 ~ 2000-12-31 |
| Mary P Zayas | 9 Pioneer Dr, Copake, NY 12516 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
| Mary E Finan Pa | 65 Gilman St, Bridgeport, CT 06605 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Mary L Warner | 7 Alden Ave, New Haven, CT 06515-2712 | Physician Assistant | 2013-08-01 ~ 2014-07-31 |
| Mary K Ferguson | 96 Straffordshire, Wallingford, CT 06492 | Physician Assistant | 1981-01-01 ~ 1994-06-30 |
| Katherine Mary White | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
| Mary M Kelley | 25 Chestnut St, Rockville, CT 06066 | Physician Assistant | 2000-03-15 ~ 2001-05-31 |
| Mary E Fleming | 40 Prospect St. #2-3h, Norwalk, CT 06850 | Physician Assistant | 2004-09-15 ~ 2004-10-31 |
| Mary A Gunn | 40 Prospect St, Norwalk, CT 06850 | Physician Assistant | 1994-03-14 ~ 1994-09-30 |
Please comment or provide details below to improve the information on MARY B MCCHRYSTAL 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).