SUANNE KOLESNIK PA-C (Credential# 743694) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
SUANNE KOLESNIK PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001945. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 15 Beaver Dam Trl, Old Saybrook, CT 06475-1001. The current status is active.
| Licensee Name | SUANNE KOLESNIK PA-C |
| Credential ID | 743694 |
| Credential Number | 23.001945 |
| Credential Type | Physician Assistant |
| Business Address |
15 Beaver Dam Trl Old Saybrook CT 06475-1001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-08-09 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 480761 | CSP.0042508 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-08-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 15 BEAVER DAM TRL |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475-1001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + OLD SAYBROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| David Z Kolesnik | 31 Beaumont Dr, New City, NY 10956 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Janice Kolesnik | 260 Middle Rd Tpke, Woodbury, CT 06798 | Registered Nurse | 2000-05-30 ~ 2001-05-31 |
| Yevgeniy Kolesnik | 131 Queen Ave, West Springfield, MA 01089-2433 | Dental Hygienist | 2018-12-06 ~ 2019-06-30 |
| Tanya Kolesnik | 27 Patricia Ln, Naugatuck, CT 06770-1978 | Real Estate Salesperson | 2008-06-01 ~ 2009-05-31 |
| Ella S Kolesnik | 131 Queen Ave, West Springfield, MA 01089-2433 | Dental Hygienist | 2019-10-11 ~ 2020-06-30 |
| Suanne M Fulton | 123 Grandview Ave, Watertown, CT 06795 | Registered Nurse | 2016-12-01 ~ 2017-11-30 |
| Suanne V Mcmahon | 171 Laurel St Apt 435, Bristol, CT 06010-5761 | Pharmacy Technician | 2017-04-01 ~ 2018-03-31 |
| Robert S Kolesnik Jr | 80 Central Avenue, Waterbury, CT 06702 | Notary Public Appointment | 1999-05-19 ~ 2004-05-31 |
| Suanne Y Latte | 19 Cobblers Lane, Norwalk, CT 06851 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on SUANNE KOLESNIK 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).