RYAN M O'GOWAN PA-C (Credential# 743277) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2012. The license expiration date date is October 31, 2013. The license status is INACTIVE.
RYAN M O'GOWAN PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001528. The credential type is physician assistant. The effective date is November 1, 2012. The expiration date is October 31, 2013. The business address is 18 White Ave, East Longmeadow, MA 01028-2432. The current status is inactive.
| Licensee Name | RYAN M O'GOWAN PA-C |
| Credential ID | 743277 |
| Credential Number | 23.001528 |
| Credential Type | Physician Assistant |
| Business Address |
18 White Ave East Longmeadow MA 01028-2432 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-10-01 |
| Effective Date | 2012-11-01 |
| Expiration Date | 2013-10-31 |
| Refresh Date | 2014-02-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 990015 | CSP.0049829 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-25 | 2011-03-25 - 2013-02-28 | INACTIVE |
| Street Address | 18 WHITE AVE |
| City | EAST LONGMEADOW |
| State | MA |
| Zip Code | 01028-2432 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Stezko | 29 Autumn Ridge, East Longmeadow, MA 01028 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sergy Chebotarev | 38 Lenox Circle, East Longmeadow, MA 01028 | Tax Preparer/facilitator Permit | 2020-06-18 ~ 2022-06-30 |
| Breanna Lynn Cloonan | 11 Acorn Street, East Longmeadow, MA 01028 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| Maureen Teresa Blanchard | 70 Somers Rd, East Longmeadow, MA 01028 | Esthetician | ~ |
| Erica J Mcnamara | 30 Villanova Street, East Longmeadow, MA 01028 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Jerry E Gray | C/o Abide Inc., East Longmeadow, MA 01028 | Lead Abatement Supervisor | 2020-09-01 ~ 2021-08-31 |
| Devin T Mccorison | C/o Abide, Inc., East Longmeadow, MA 01028 | Asbestos Abatement Supervisor | 2020-09-01 ~ 2021-08-31 |
| Susan B Chunyk | Hampden Hearing Ctr, East Longmeadow, MA 01028 | Audiologist | 2020-08-01 ~ 2021-07-31 |
| Mario Tascon | 202 Canterbury Circle, East Longmeadow, MA 01028 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
| Jeong Ja Lee | 25 Robin St, East Longmeadow, MA 01028 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 01028 | |||
| City | EAST LONGMEADOW |
| Zip Code | 01028 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + EAST LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lucas Ryan Pa | 37 Red Mills Rd, Mahopac, NY 10541 | Physician Assistant | 2004-08-23 ~ 2005-10-31 |
| Emily Ryan | 15 Sandra Dr, Branford, CT 06405-6137 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| James J Ryan | P.o. Box 525, Pine Plains, NY 12567 | Physician Assistant | 2003-03-03 ~ 2004-02-29 |
| Ryan F Makuck Pa-c | 37 Pinnacle Rd, Ellington, CT 06029-3513 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kevin F Ryan | 12 Walker Road, Ware, MA 01082 | Physician Assistant | 1997-08-22 ~ 1998-09-30 |
| Ryan A Vicino | 480 Maple Hill Ave, Newington, CT 06111-3618 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Ryan Riordan | 23 S Jefferson St, Batavia, IL 60510-2419 | Resident Physician Assistant | 2020-05-26 ~ 2021-12-31 |
| Ryan Maringola | 6 Fieldstone Cmns Ste D, Tolland, CT 06084-3419 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Ryan K Gunther | 140 Mill St, East Haven, CT 06512-1041 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
| Ryan C Davis | 111 Woodland Drive, Cromwell, CT 06416 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on RYAN M O'GOWAN PA-C.
| 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).