DEBRA M SULLIVAN PA (Credential# 743556) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DEBRA M SULLIVAN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001807. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 9 Clearview Dr, Sandy Hook, CT 06482. The current status is active.
Licensee Name | DEBRA M SULLIVAN PA |
Credential ID | 743556 |
Credential Number | 23.001807 |
Credential Type | Physician Assistant |
Business Address |
9 Clearview Dr Sandy Hook CT 06482 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2006-09-01 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
452559 | CSP.0040749 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 9 CLEARVIEW DR |
City | SANDY HOOK |
State | CT |
Zip Code | 06482 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Catherine A D'aquila | 4 Fleetwood Drive, Sandy Hook, CT 06482 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Deanna M Galanis | 9 Riverside Road, Sandy Hook, CT 06482 | Eyelash Technician | 2020-06-26 ~ 2022-02-28 |
Bruce J Kerns | 42 Great Quarter Rd, Sandy Hook, CT 06482 | Veterinarian | 2020-06-01 ~ 2021-05-31 |
Nancy B Sheehan | 6 Clearview Drive, Sandy Hook, CT 06482 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Elisa A Keenan | 8 Farview Dr, Sandy Hook, CT 06482 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
Children's Adventure Center Inc. | 14 Riverside Road, Sandy Hook, CT 06482 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Linda J Wallace | 80 Walnut Tree Hill, Sandy Hook, CT 06482 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Gina E Long | 35 Poplar Drive, Sandy Hook, CT 06482 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Phillip M Lombardo | 42 Berkshire Road, Sandy Hook, CT 06482 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
Robert D Mitchell | 71 Osborn Hill Rd, Sandy Hook, CT 06482 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06482 |
City | SANDY HOOK |
Zip Code | 06482 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + SANDY HOOK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael K Sullivan | 17 Sayles Ave, Lincoln, RI 02865-2133 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Jill M Sullivan | 142 Bellridge Rd, Glastonbury, CT 06033-1462 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Sarah B Sullivan Pa-c | 113 Old Stratfield Rd, Fairfield, CT 06825 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Victoria M Sullivan | 93 Lacey Rd, Bethany, CT 06524-3021 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Ellen Debra Matteson | 160 Hawley Ln, Trumbull, CT 06611-5300 | Physician Assistant | ~ |
Debra Vinick Pa | 89 Tufts Dr, Manchester, CT 06042-8500 | Physician Assistant | 2018-01-01 ~ 2018-12-31 |
Hannah B Sullivan | 22 Harvest Ln, West Hartford, CT 06117-3026 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Scott F Sullivan | 31 Walnut Road, Barrington, RI 02806 | Physician Assistant | 2009-06-17 ~ 2010-06-30 |
Debra R Strigun | 152 Grant Hill Rd, Coventry, CT 06238 | Physician Assistant | 2014-10-01 ~ 2015-05-01 |
Daniel P Sullivan | 3 Debra Court, Scotch Plains, NJ 07076 | Dentist | 2003-10-08 ~ 2004-01-31 |
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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).