SARAH SANDBERG PA (Credential# 743587) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
SARAH SANDBERG PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001838. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 39 Walker Ln, West Hartford, CT 06117-1148. The current status is active.
| Licensee Name | SARAH SANDBERG PA |
| Credential ID | 743587 |
| Credential Number | 23.001838 |
| Credential Type | Physician Assistant |
| Business Address |
39 Walker Ln West Hartford CT 06117-1148 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-10-11 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 475242 | CSP.0041678 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-07-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 843740 | 70.004007 | Emergency Medical Technician | 2003-09-04 | 2003-09-04 - 2005-03-31 | INACTIVE |
| Street Address | 39 WALKER LN |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-1148 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel J Barone | 15 Walker Ln, West Hartford, CT 06117-1148 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | WEST HARTFORD |
| Zip Code | 06117 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sandberg | 163 Five Mile River Road, Putnam, CT 06260 | Lead Inspector | ~ 1998-10-31 |
| Cindy A Sandberg · Rivera | Po Box 697, Dayville, CT 06241-0697 | Physical Therapist Assistant | 2016-10-01 ~ 2017-09-30 |
| Sarah Spring | 277 Academy Dr, Vestal, NY 13850-2447 | Physician Assistant | ~ |
| Sarah Moore | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician Assistant | 2017-05-01 ~ 2018-04-30 |
| Sarah Ann Newburg | N67 W36773 Hwy K, Oconomowoc, WI 53066 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Sarah B Sullivan Pa-c | 113 Old Stratfield Rd, Fairfield, CT 06825 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Sarah J Dolan | 114 Woodland St, Hartford, CT 06105-1208 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Sarah F Pryor | 57 Old Rock Ln, Norwalk, CT 06850-2233 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Sarah R. Bailey | 745 Orange St Apt 203, New Haven, CT 06511-2549 | Physician Assistant | 2010-01-20 ~ 2010-03-31 |
| Sarah E Beaudoin | 36 Ladyslipper Ln, Norwich, CT 06360-2659 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on SARAH SANDBERG 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).