CHRISTINE MULLANEY PA
Physician Assistant


Address: 43 Monadnock Rd, Worcester, MA 01609

CHRISTINE MULLANEY PA (Credential# 743110) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 3, 2005. The license expiration date date is March 31, 2006. The license status is INACTIVE.

Business Overview

CHRISTINE MULLANEY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001361. The credential type is physician assistant. The effective date is February 3, 2005. The expiration date is March 31, 2006. The business address is 43 Monadnock Rd, Worcester, MA 01609. The current status is inactive.

Basic Information

Licensee Name CHRISTINE MULLANEY PA
Credential ID 743110
Credential Number 23.001361
Credential Type Physician Assistant
Business Address 43 Monadnock Rd
Worcester
MA 01609
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-07-23
Effective Date 2005-02-03
Expiration Date 2006-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
347546 CSP.0033969 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 43 MONADNOCK RD
City WORCESTER
State MA
Zip Code 01609

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Dominic J Nompleggi Md 7 Aylebury Road, Worcester, MA 01609 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Mavis Amankwah 11 Sever Street, Worcester, MA 01609 Advanced Practice Registered Nurse ~
Celena E Adjei 48 Carter Rd, Worcester, MA 01609 Pharmacist 2020-02-01 ~ 2022-01-31
Cheryl A Knowlton 80 Forest Street, Worcester, MA 01609 Registered Nurse 2020-01-01 ~ 2020-12-31
Whitney J Parker 32 Montclair Dr, Worcester, MA 01609 Professional Engineer 2020-02-01 ~ 2021-01-31
Diana Rehnuma Lasker 18 Ashland St Apt 1r, Worcester, MA 01609 Pharmacy Intern 2019-10-03 ~ 2020-09-30
Four Trees Management, Co. 30 Somerset Street, Worcester, MA 01609 Securities - Exemptions 2019-09-17 ~
Margarita C Menocal 6 Surray Lane, Worcester, MA 01609 Physical Therapist 2018-04-01 ~ 2019-03-31
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Competitor

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City WORCESTER
Zip Code 01609
License Type Physician Assistant
License Type + County Physician Assistant + WORCESTER

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Dataset Information

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).

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