MEGAN ANNE SALM PA (Credential# 743231) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 22, 2007. The license expiration date date is August 31, 2008. The license status is INACTIVE.
MEGAN ANNE SALM PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001482. The credential type is physician assistant. The effective date is June 22, 2007. The expiration date is August 31, 2008. The business address is 92 Bartlett Dr, Madison, CT 06443. The current status is inactive.
| Licensee Name | MEGAN ANNE SALM PA |
| Credential ID | 743231 |
| Credential Number | 23.001482 |
| Credential Type | Physician Assistant |
| Business Address |
92 Bartlett Dr Madison CT 06443 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-06-14 |
| Effective Date | 2007-06-22 |
| Expiration Date | 2008-08-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 374890 | CSP.0035269 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-07-01 | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 92 BARTLETT DR |
| City | MADISON |
| State | CT |
| Zip Code | 06443 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Megan H Abo | 18 Three Mile Rd, Glastonbury, CT 06033 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
| Megan D Creedon | 21 Ann St Apt A42, Norwalk, CT 06854-2266 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Megan V Reynolds | 155 Clearview Ave, Harwinton, CT 06791-1603 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Megan E Downey | 43 Greenacre Ave, Longmeadow, MA 01106 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Megan A Mathias Pa | 3 River Ave Apt 3a, Greenwich, CT 06830-6951 | Physician Assistant | 2016-03-01 ~ 2017-02-28 |
| Megan F Watson Pa | 94 Evelyn St, Trumbull, CT 06611 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Megan M Ciocca Pa | 432 Edison Rd, Trumbull, CT 06611 | Physician Assistant | 2004-06-16 ~ 2005-06-30 |
| Megan Elizabeth Ganzenmuller | 39 Pawnee Dr, Commack, NY 11725-4225 | Physician Assistant | 2020-06-17 ~ 2021-03-31 |
| Megan P Cody Pa | 21 Colonial Green, Loudonville, NY 12211 | Physician Assistant | 2017-05-01 ~ 2018-04-30 |
| Megan Hofmann | 40 Prospect Ave Bldg 2, Norwalk, CT 06850-3737 | Physician Assistant | 2018-03-01 ~ 2019-02-28 |
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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).