BETHANY L MILLER PA (Credential# 743183) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2019. The license expiration date date is May 31, 2020. The license status is ACTIVE.
BETHANY L MILLER PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001434. The credential type is physician assistant. The effective date is June 1, 2019. The expiration date is May 31, 2020. The business address is 51 Water St, Canterbury, CT 06331-1342. The current status is active.
| Licensee Name | BETHANY L MILLER PA |
| Credential ID | 743183 |
| Credential Number | 23.001434 |
| Credential Type | Physician Assistant |
| Business Address |
51 Water St Canterbury CT 06331-1342 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-12-08 |
| Effective Date | 2019-06-01 |
| Expiration Date | 2020-05-31 |
| Refresh Date | 2019-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 357340 | CSP.0034389 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-01-05 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 51 WATER ST |
| City | CANTERBURY |
| State | CT |
| Zip Code | 06331-1342 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brendan M Marquis | 99 Water St, Canterbury, CT 06331-1342 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Jessica Boyle | 19 Water St, Canterbury, CT 06331-1342 | Medication Administration Certification | 2018-08-18 ~ 2020-08-17 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna Slaga | 38 John Brook Rd., Canterbury, CT 06331 | Notary Public Appointment | 2020-06-24 ~ 2025-06-30 |
| Kylie Mae Deojay | 20 Shagbark Lane, Canterbury, CT 06331 | Licensed Practical Nurse | ~ |
| Paul J Erickson | 65 John Brook Road, Canterbury, CT 06331 | Water Treatment Plant Operator - Class Iv | 2020-04-01 ~ 2023-03-31 |
| Sherry L Appleton | 147 John Brook Road, Canterbury, CT 06331 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| James M Clark | 71 North Canterbury Road, Canterbury, CT 06331 | Real Estate Salesperson | ~ |
| Better Val-u Supermarkets | 4 North Canterbury Rd, Canterbury, CT 06331 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elena Christine Mercier | 428 North Canterbury Rd, Canterbury, CT 06331 | Master's Level Social Worker | 2020-06-18 ~ 2021-04-30 |
| Suzanne Krodel | 111 N Canterbury Rd, Canterbury, CT 06331 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Florentina Tutu | 47 Marion Lane Unit #2, Canterburry, CT 06331 | Esthetician | 2020-06-15 ~ 2022-04-30 |
| Jillian N Turner | 53 Douglas Drive, Canterbury, CT 06331 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06331 | |||
| City | CANTERBURY |
| Zip Code | 06331 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + CANTERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Saffir Md | 14 Miller Rd, Bethany, CT 06524-3224 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Whitney J Miller-caporaso | 172 Carrington Rd, Bethany, CT 06524-3509 | Naturopathic Physician | 2020-01-01 ~ 2020-12-31 |
| Bethany B Foster | 58 Chapin Cir, Ludlow, MA 01056-2446 | Physician Assistant | ~ |
| Bethany Ann Nelson | 30 Lawrence St, Norfolk, MA 02056-1922 | Physician Assistant | ~ |
| Victoria M Sullivan | 93 Lacey Rd, Bethany, CT 06524-3021 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Claire E Spiro Pa | 27 Briar Rd, Bethany, CT 06524 | Physician Assistant | 2005-09-28 ~ 2006-11-30 |
| Judit Farkas Pa-c | 78 Country Lane, Bethany, CT 06524 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Andrea J Stannard Pa | 34 Chelsea Circle, Bethany, CT 06524 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| William L Cushing II | 48 Luke Hill Rd, Bethany, CT 06524-3323 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jenna Rae Miller | 298 Moore Street, Chicopee, MA 01013 | Physician Assistant | 2020-02-19 ~ 2021-02-28 |
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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).