HEIDI L BOERMAN (Credential# 743204) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
HEIDI L BOERMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001455. The credential type is physician assistant. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 1313 Brown Rd, Martinsburg, WV 25404-6560. The current status is active.
| Licensee Name | HEIDI L BOERMAN |
| Credential ID | 743204 |
| Credential Number | 23.001455 |
| Credential Type | Physician Assistant |
| Business Address |
1313 Brown Rd Martinsburg WV 25404-6560 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-02-18 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-08-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 364842 | CSP.0034688 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 1313 BROWN RD |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25404-6560 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric D Carper | 155 Wr Caskey Drive, Martinsburg, WV 25404 | Registered Nurse - Temporary | 2016-01-21 ~ 2016-05-19 |
| Ryan Bennett | 3191 Eagle School Rd, Martinsburg, WV 25404-0633 | Registered Nurse | 2019-12-20 ~ 2020-10-31 |
| Jeffrey D Marsh | 144 Tevis Cir Apt 9, Martinsburg, WV 25404-5478 | Electrical Limited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Express Modular Franchising, LLC | 1586 Winchester Avenue, Martinsburg, WV 25405 | Business Opportunity (registration) | 2020-06-04 ~ 2021-04-30 |
| Bhusan Neupane | 510 Butler Ave, Martinsburg, WV 25405-9990 | Resident Physician | 2014-07-01 ~ 2021-06-30 |
| Express Homes Inc | 1586 Winchester Ave, Martinsburg, WV 25405-5025 | New Home Construction Contractor | 2019-10-01 ~ 2021-09-30 |
| Frank M Landino | 281 Needy Rd, Martinsburg, WV 25405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mandy Reynolds | 1442 Poorhouse Rd, Martinsburg, WV 25403 | Registered Nurse | 2017-10-05 ~ 2018-09-30 |
| Roger L Catlett | 365 Mule Skinner Lane, Martinsburg, WV 25405 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
| Leah S Seibert | 107 Meadowbrook Dr, Martinsburg, WV 25401-2858 | Registered Nurse | 2011-03-28 ~ 2011-07-31 |
| Scott A Gill | 34 Hyre Ct., Martinsburg, WV 25401 | Registered Nurse | ~ |
| Joseph D Boggs | 283 Vine Cir, Martinsburg, WV 25405-6496 | Electrical Limited Journeyperson | ~ |
| Joan E Albright | 831 Hillcrest Drive, Martinsburg, WV 25401 | Registered Nurse | 2008-10-01 ~ 2009-10-31 |
| Find all Licenses in MARTINSBURG | |||
| City | MARTINSBURG |
| Zip Code | 25404 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MARTINSBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heidi A Courtney | 108 Circle Drive, Chicopee, MA 01020 | Physician Assistant | 1999-10-28 ~ 2000-07-31 |
| Heidi Dawson Stine | 442 E 78th St, New York, NY 10075 | Physician Assistant | 2019-05-01 ~ 2020-04-30 |
| Heidi Gillespie Pa | 11032 Cottontail Ln, Parker, CO 80138-7941 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Heidi Michelle Walberg | 105 Avon St, New Haven, CT 06511-2422 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Heidi W Nolan · Wiesner | 1354 Chapel Street, New Haven, CT 06511-1106 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Heidi Skjerdal Flicker | 11 Chapel Hill Road, Westport, CT 06880 | Physician Assistant | 2011-04-01 ~ 2012-03-31 |
| Heidi D Krenzke | Spring Hill, FL 34609 | Physical Therapist Assistant | 2016-05-20 ~ 2017-03-31 |
| Heidi S Lagasse | 241 Turquoise Cir, Little River, SC 29566-8131 | Occupational Therapist Assistant | 2013-08-01 ~ 2015-07-31 |
| Heidi Lee Bzdyra | 61 Windwood Dr, Glastonbury, CT 06033-1182 | Occupational Therapist Assistant | 2019-09-18 ~ 2021-07-31 |
| Heidi I Levine | 220 E 95th Street, Apt.3c, New York, NY 10128 | Physical Therapist Assistant | 2009-01-15 ~ 2010-01-31 |
Please comment or provide details below to improve the information on HEIDI L BOERMAN.
| 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).