ANDREA J STANNARD PA (Credential# 743315) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ANDREA J STANNARD PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001566. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 34 Chelsea Circle, Bethany, CT 06524. The current status is active.
Licensee Name | ANDREA J STANNARD PA |
Credential ID | 743315 |
Credential Number | 23.001566 |
Credential Type | Physician Assistant |
Business Address |
34 Chelsea Circle Bethany CT 06524 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2004-11-18 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-04-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
391120 | CSP.0036835 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-12-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 34 Chelsea Circle |
City | Bethany |
State | CT |
Zip Code | 06524 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Catherine M Ford · Porto | 78 Tuttle Court, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Erin Mcknight | 24 Timber Ln, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cheryl A Bevvino | 106 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Catherine Geloso | 19 Amadeo Drive, Bethany, CT 06524 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Patricia Burke | 12 Miller Rd, Bethany, CT 06524 | Veterinarian | 2020-09-01 ~ 2021-08-31 |
Complete Excavating Services LLC | 674 Amity Rd, Bethany, CT 06524 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
Brian K Coutermarsh | 32 Emerald Lane, Bethany, CT 06524 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Michelle L Amato | 172 Russell Rd, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Joseph L Colaci | 57 Edwards Road, Bethany, CT 06524 | Nursing Home Administrator | 2020-05-01 ~ 2022-04-30 |
Karen C Praskievicz | 85 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06524 |
City | Bethany |
Zip Code | 06524 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Bethany |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrea G Stannard | 40 Comstock Bridge Rd, Colchester, CT 06415-2621 | Massage Therapist | 2018-11-01 ~ 2020-10-31 |
Andrea M Lagasse | 20 Greenmeadow Ln, Granby, MA 01033-9594 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
Andrea Cunningham | 520 E 20th St Apt 8d, New York, NY 10009-8313 | Physician Assistant | 2016-11-01 ~ 2017-10-31 |
Andrea L Calore | 110 Woodbury Rd, Watertown, CT 06795-2130 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Andrea Lowe | 1111 New Jersey Ave, Washington, DC 20003 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
Andrea M Niziolek Pa | 56 Kelsey Springs Dr, Madison, CT 06443-2478 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Andrea Lauren Arnone | 1 Harvard Ave, Yonkers, NY 10710 | Physician Assistant | 2018-11-26 ~ 2019-06-30 |
Andrea H Lynch | 164 Surrey Lane, Fairfield, CT 06824 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Andrea C Dorak | 1147 Marion Road, Cheshire, CT 06410 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).