CARRIE C BACH PA (Credential# 743035) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 29, 2006. The license expiration date date is May 31, 2007. The license status is INACTIVE.
CARRIE C BACH PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001286. The credential type is physician assistant. The effective date is March 29, 2006. The expiration date is May 31, 2007. The business address is 3102 Winter Park Place, Madison, WI 53719. The current status is inactive.
| Licensee Name | CARRIE C BACH PA |
| Credential ID | 743035 |
| Credential Number | 23.001286 |
| Credential Type | Physician Assistant |
| Business Address |
3102 Winter Park Place Madison WI 53719 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-11-12 |
| Effective Date | 2006-03-29 |
| Expiration Date | 2007-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 327534 | CSP.0032985 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 3102 WINTER PARK PLACE |
| City | MADISON |
| State | WI |
| Zip Code | 53719 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Drj Engineering LLC | 6300 Enterprise Lane, Madison, WI 53719 | Professional Engineering Corporation | 2020-07-15 ~ 2021-07-14 |
| Dean Michael Zoesch | 1250 Meadow Sweet Dr, Madison, WI 53719 | Professional Engineer | 2013-02-01 ~ 2014-01-31 |
| Marjorie G Thiede | 7127 East Pass, Madison, WI 53719 | Registered Nurse | 2000-05-30 ~ 2001-06-30 |
| Ross B Isaacs | 13 Captains Ct #5, Madison, WI 53719 | Physician/surgeon | 1992-10-23 ~ 1993-10-31 |
| Sean M Bondarchuk | 3033 Maple Valley Drive, Madison, WI 53719 | Registered Nurse | 1999-09-23 ~ 2000-09-30 |
| Cheryl A Hauke | 6803 Park Edge Dr, Madison, WI 53719 | Pharmacist | 1800-12-27 ~ 1993-03-31 |
| Kirk H Grundahl | 6300 Enterprise Ln, Madison, WI 53719-1190 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Exact Sciences Corporation | 441 Charmany Dr, Madison, WI 53719-1234 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2014-10-28 ~ |
| Affiliated Engineers Inc | 5802 Research Park Blvd, Madison, WI 53719-1249 | Professional Engineering Corporation | 2020-06-14 ~ 2021-06-13 |
| Qr Lending Inc | 555 Zor Shrine Pl Ste 100, Madison, WI 53719-2068 | Real Estate Appraisal Management Company | ~ |
| Find all Licenses in zip 53719 | |||
| City | MADISON |
| Zip Code | 53719 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carrie M Hofstad | 170 Forest St Apt 14, Stamford, CT 06901-2128 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Carrie A Rossi | 1 Surrey Dr, Shelton, CT 06484-5015 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Carrie St. Amand | 51 Park Street, Palmer, MA 01069 | Physician Assistant | ~ 1998-02-28 |
| Carrie L Herron Pa | 5 Five Gaits Farm, West Simsbury, CT 06092-2127 | Physician Assistant | 2019-04-01 ~ 2020-03-31 |
| Julie A Bach | 13 Bach Ln, South Hadley, MA 01075-1001 | Registered Nurse - Temporary | 2012-01-11 ~ 2012-05-10 |
| Henryk Bach | 7292 4th St. N, St. Petersberg, FL 33702 | Physical Therapist Assistant | ~ 2006-11-01 |
| George E Douton IIi · Bach Dor Cafe | Route 198 & 6, Chaplin, CT 06235 | Cafe Liquor | 2003-02-07 ~ 2004-02-06 |
| Bach Door Cafe | 9 Willimantic Road, Chaplin, CT 06235 | Lottery Sales Agent | ~ |
| Beau Bach Builders LLC | 70 N Turnpike Rd #47, Wallingford, CT 06492 | Home Improvement Contractor | 2020-01-12 ~ 2020-11-30 |
| Gran Bach | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-04-12 ~ 2018-04-10 |
Please comment or provide details below to improve the information on CARRIE C BACH 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).