SEAN A MINER PA (Credential# 743232) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
SEAN A MINER PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001483. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 314 Fern St, West Hartford, CT 06119. The current status is active.
| Licensee Name | SEAN A MINER PA |
| Credential ID | 743232 |
| Credential Number | 23.001483 |
| Credential Type | Physician Assistant |
| Business Address |
314 Fern St West Hartford CT 06119 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-06-14 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 375172 | CSP.0035317 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-07-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 314 Fern St |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | WEST HARTFORD |
| Zip Code | 06119 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| W Kenneth Miner | 1579 Straits Tpke, Middlebury, CT 06762-1835 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Sean A Lynch Pa-c | 160 Ardmore St, Hamden, CT 06517 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Sean M. Mcgovern | 32 Grace Lane, Portland, CT 06480 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Sean Phillips | 307 State Route 187, Milan, TN 38358-6253 | Physician Assistant | 2019-06-01 ~ 2020-05-31 |
| Sean Edward Hoffman | 311 E Main St, Westfield, MA 01085-3307 | Physician Assistant | 2020-05-01 ~ 2021-05-31 |
| Sean P Dunn | 7030 Los Arboles Ave, Atascadero, CA 93422-4100 | Physician Assistant | 2018-07-01 ~ 2019-06-30 |
| Sean Ervin Lisk | 191 Spring St, South Salem, NY 10590-1615 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Sean Bennett Eden | 184 Shannock Rd, South Kingstown, RI 02879-4709 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Michael E Miner · Miner Enterprises | 14 Tomlinson Ave, Plainville, CT 06062 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
| Vernon F Miner · Miner Excavating | 5 Hough St #3, Plainville, CT 06062 | Sub-surface Sewage Installer | 2005-12-27 ~ 2007-02-28 |
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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).