RACHEL D MASSEY PA (Credential# 742897) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2017. The license expiration date date is April 30, 2018. The license status is INACTIVE.
RACHEL D MASSEY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001148. The credential type is physician assistant. The effective date is May 1, 2017. The expiration date is April 30, 2018. The business address is 112 Breezy Oaks Ct, Davenport, FL 33896-8159. The current status is inactive.
Licensee Name | RACHEL D MASSEY PA |
Credential ID | 742897 |
Credential Number | 23.001148 |
Credential Type | Physician Assistant |
Business Address |
112 Breezy Oaks Ct Davenport FL 33896-8159 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2001-11-30 |
Effective Date | 2017-05-01 |
Expiration Date | 2018-04-30 |
Refresh Date | 2018-08-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
333240 | CSP.0033244 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 112 BREEZY OAKS CT |
City | DAVENPORT |
State | FL |
Zip Code | 33896-8159 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Deborah Ann Robert | 1078 Preserve Drive, Davenport, FL 33896 | Registered Nurse | ~ |
Ansell Smith | 5442 Loma Vista Loop, Davenport, FL 33896 | Licensed Practical Nurse | 2013-01-01 ~ 2013-12-31 |
Susan D Farmer | 1418 Dumont Drive, Valrico, FL 33896 | Registered Nurse | 2012-05-01 ~ 2013-04-30 |
Anna L Fisher | 6622 Ivy Mist Lane, Davenport, FL 33896 | Registered Nurse | 2007-01-08 ~ 2008-01-31 |
Lois K Wilson | 119 Robbins Rest Cir, Davenport, FL 33896-5203 | Registered Nurse | 2014-06-01 ~ 2015-05-31 |
Wendy Dougan · Sobel | 8302 Portofino Dr Unit 201, Davenport, FL 33896-5363 | Hairdresser/cosmetician | 2018-07-01 ~ 2020-06-30 |
Sandra A Barbieri | 134 Henue Ct, Davenport, FL 33896-6535 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Beverly Lucas | 203 Thousand Oaks Blvd, Davenport, FL 33896-8122 | Registered Nurse | 2013-05-01 ~ 2014-04-30 |
Lisa M Gonzalez | 115 Secluded Oak Ct, Davenport, FL 33896-8151 | Hairdresser/cosmetician | 2018-03-01 ~ 2020-02-29 |
Angel Snugs Inc · Angel Snugs International | 8297 Champions Gate Blvd, Champions Gate, FL 33896-8387 | Public Charity-exempt From Financial Requirements | 2020-06-08 ~ |
Find all Licenses in zip 33896 |
City | DAVENPORT |
Zip Code | 33896 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + DAVENPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rachel A Ketter | 87 Orion Ave, Groton, CT 06340-2831 | Physician Assistant | 2016-05-01 ~ 2017-04-30 |
Rachel M Vasek | 40 Prospect, Norwalk, CT 06850 | Physician Assistant | 2008-09-02 ~ 2009-09-30 |
Rachel Christina Ricci | 15 Catherine Dr, Rocky Hill, CT 06067-4249 | Physician Assistant | ~ |
Rachel Glantz | 68 Bretton Rd, West Hartford, CT 06119-1208 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Angela Barrows Pa | 21 Rachel Ann Court, Prospect, CT 06712 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Rachel Ellen Silvester | 143 Wetherell St Unit 1, Manchester, CT 06040-6406 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Rachel Dayan | 8a Turkey Roost Rd, Sandy Hook, CT 06482 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Rachel Lynn Maclean | 2 Trail Run Apt 2107, Vernon, CT 06066 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Rachel R Rosenberg | 740 East Park Court, Valley Stream, NY 11581 | Physician Assistant | 2007-11-05 ~ 2008-11-30 |
Rachel Kathleen Valdivieso | 55 Dorset Xing Unit 325, Simsbury, CT 06070-1476 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).