CARRIE M HOFSTAD (Credential# 743052) 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.
CARRIE M HOFSTAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001303. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 170 Forest St Apt 14, Stamford, CT 06901-2128. The current status is active.
| Licensee Name | CARRIE M HOFSTAD |
| Credential ID | 743052 |
| Credential Number | 23.001303 |
| Credential Type | Physician Assistant |
| Business Address |
170 Forest St Apt 14 Stamford CT 06901-2128 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-11-27 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 335520 | CSP.0033377 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 170 FOREST ST APT 14 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06901-2128 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tatiana P Belykh | 170 Forest St Apt 10, Stamford, CT 06901-2128 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Sharlene L. Geyer | 170 Forest St Apt 12, Stamford, CT 06901-2128 | Physician Assistant | 2017-03-01 ~ 2018-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jisun Lee | 140 Grove St #3a, Stamford, CT 06901 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Sbarro # 968 | 100 Greyrock Place, Stamford, CT 06901 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sausan A Hilmi Md | Ehe International, Stamford, CT 06901 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Andrew Sosa | 66 Summer Street Apt 1508, Stamford, CT 06901 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Melissa Kay Rosenberg | 180 Broad Street, Stamford, CT 06901 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Niki Maroulakos | 1 Broad Street, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Ana D Granda | 355 Atlantic St Unit 20d, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-11 ~ 2021-05-31 |
| Zachary Daly Walzer | 800 Summer St, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
| Kathy E Dunigan | 2 Canterbury Green #2508, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
| Iwona Grzebyk | 99 Prospect Str Apt 5e, Stamford, CT 06901 | Esthetician | 2020-06-13 ~ 2022-03-31 |
| Find all Licenses in zip 06901 | |||
| City | STAMFORD |
| Zip Code | 06901 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Carrie C Bach Pa | 3102 Winter Park Place, Madison, WI 53719 | Physician Assistant | 2006-03-29 ~ 2007-05-31 |
| Carrie L Markure | 49 County Rd, Wolcott, CT 06716-2501 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Carrie A Whitney | 72 Dunne Ave, Collinsville, CT 06019 | Occupational Therapist Assistant | 1999-08-02 ~ 2001-07-31 |
| Carrie A Verrilli | 79 Greenwood Ln, Monroe, CT 06468-2406 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Carrie L Pierog | 33 Lydall St, Manchester, CT 06042-2350 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Carrie A Petrow | 21 Metacomet Road, Plainville, CT 06062 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| Carrie B Sawicki | 382 South Main Street, Naugatuck, CT 06770 | Occupational Therapist Assistant | 2003-07-07 ~ 2005-07-31 |
Please comment or provide details below to improve the information on CARRIE M HOFSTAD.
| 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).