TAMMY GENDRON (Credential# 743830) 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.
TAMMY GENDRON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002081. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 133 Tuckie Rd, North Windham, CT 06256-1317. The current status is active.
| Licensee Name | TAMMY GENDRON |
| Credential ID | 743830 |
| Credential Number | 23.002081 |
| Credential Type | Physician Assistant |
| Business Address |
133 Tuckie Rd North Windham CT 06256-1317 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-02-26 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 497054 | CSP.0043206 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-04-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 133 TUCKIE RD |
| City | NORTH WINDHAM |
| State | CT |
| Zip Code | 06256-1317 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tina M Bilanceri | 167 Tuckie Rd, North Windham, CT 06256-1317 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Judy A Sanborn | 109 Tuckie Rd, North Windham, CT 06256-1317 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Holly M Swiney | 137 Tuckie Rd, North Windham, CT 06256-1317 | Emergency Medical Technician | 2019-12-24 ~ 2023-06-30 |
| Kraft Tile LLC | 199 Tuckie Rd, North Windham, CT 06256-1317 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Charles H Barrows Stem Academy Pto Inc | 141 Tuckie Rd, North Windham, CT 06256-1317 | Public Charity-exempt From Financial Requirements | 2018-05-03 ~ |
| Sean P Hanrahan | 127 Tuckie Rd, North Windham, CT 06256-1317 | Emergency Medical Technician | 2018-04-05 ~ 2021-04-01 |
| Sandra A Spear | 137 Tuckie Rd, North Windham, CT 06256-1317 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| A J N Painting LLC | 109 Tuckie Rd, North Windham, CT 06256-1317 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah T Hodgson | 30 Carolyn Lane, North Windham, CT 06256 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Potters Oil Service | 688 Boston Post Rd, North Windham, CT 06256 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Dunkin Donuts #338738 | 307 Boston Post Rd, Windham, CT 06256 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Roy | 29 Circle Drive, North Windham, CT 06256 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Debra A Mcdonald-vanoni | 63 Parish Hill Road, North Windham, CT 06256 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Nathan A Cour | 103 Parish Hill Road, North Windham, CT 06256 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Atiya Rodrigues - Pontes | 11 Stony Ridge Rd, North Windham, CT 06256 | Notary Public Appointment | 2020-05-27 ~ 2025-05-31 |
| Marianne R Carroll | 611 N Windham Rd Ext, North Windham, CT 06256 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Francine Boulay | 45 Larrow Drive, North Windham, CT 06256 | Notary Public Appointment | 2015-05-01 ~ 2020-04-30 |
| Sharon Rodriguez | 4 Jordan Lane, North Windham, CT 06256 | Medication Administration Certification | 2020-04-29 ~ 2022-04-29 |
| Find all Licenses in zip 06256 | |||
| City | NORTH WINDHAM |
| Zip Code | 06256 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORTH WINDHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tammy D Gaines Pa | 1 Summer Brook Ln, Cromwell, CT 06416-2449 | Physician Assistant | 2018-08-01 ~ 2019-07-31 |
| Matthew L Gendron · Matt Gendron Contractors | 259 Gales Ferry Rd, Groton, CT 06340 | Home Improvement Contractor | 1997-02-05 ~ 1997-11-30 |
| Angela L Gendron | 44 Maritime Dr., Mystic, CT 06355 | Physical Therapist Assistant | ~ 2006-11-01 |
| Roger K Gendron · Roger K Gendron Contracting | 401 Unquowa Rd, Fairfield, CT 06824 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
| Bruce R Gendron Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Francis J Grendron · Frank Gendron Builders | 129 Lincoln St, New Britain, CT 06052 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Tammy L Anderson | 212 Bishop Rd, Bozrah, CT 06334-1507 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| 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 |
| Tammy A Fahy | 42 Brookwood Drive, Longmeadow, MA 01106 | Occupational Therapist Assistant | 2009-08-01 ~ 2011-07-31 |
| Tammy J Getchell | 221 Sunday Silence Ln, Elgin, SC 29045-7122 | Occupational Therapist Assistant | 2007-08-01 ~ 2009-07-31 |
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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).