COREY A CHAMPEAU PA (Credential# 743440) 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.
COREY A CHAMPEAU PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001691. The credential type is physician assistant. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 40 Westmont Rd, Avon, CT 06001. The current status is active.
| Licensee Name | COREY A CHAMPEAU PA |
| Credential ID | 743440 |
| Credential Number | 23.001691 |
| Credential Type | Physician Assistant |
| Business Address |
40 Westmont Rd Avon CT 06001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-10-04 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-08-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 418699 | CSP.0038433 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-10-13 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 40 Westmont Rd |
| City | Avon |
| State | CT |
| Zip Code | 06001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | Avon |
| Zip Code | 06001 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Avon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew Champeau Pa | 234 Spielman Hwy, Burlington, CT 06013-2010 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Meaghan Serra | 34 Corey Street, Agawam, MA 01001 | Physician Assistant | ~ |
| Shannon Lambert | 96 Corey Colonial, Agawam, MA 01001-2749 | Physician Assistant | 2011-12-01 ~ 2012-11-30 |
| Juliane Campbell | 7 Corey Colonial, Agawam, MA 01001-2725 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Corey C. Bousquet | 16625 Lake Circle Dr Apt 516, Fort Myers, FL 33908-5745 | Physician Assistant | 2010-09-20 ~ 2011-06-30 |
| Corey's · The Corey Corporation | 787 Main St S, Woodbury, CT 06798 | Frozen Dessert Retailer | 2007-01-01 ~ 2007-12-31 |
| Michael Corey · Corey Construction | 219 Naubanc Ave, East Hartford, CT 06118 | Home Improvement Contractor | ~ 1995-08-01 |
| Paul W Champeau | 55 Nichols St, Putnam, CT 06260 | Barber | 1997-06-04 ~ 1998-06-30 |
| Corey's Catsup & Mustard - Corey's Lager | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-03-13 ~ 2020-03-12 |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on COREY A CHAMPEAU PA.
| 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).