LAURA M KIELB PA-C (Credential# 897594) 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.
LAURA M KIELB PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002332. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 26 Bartlett Ct, Wilbraham, MA 01095-1705. The current status is active.
Licensee Name | LAURA M KIELB PA-C |
Credential ID | 897594 |
Credential Number | 23.002332 |
Credential Type | Physician Assistant |
Business Address |
26 Bartlett Ct Wilbraham MA 01095-1705 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2009-09-30 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-04-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
902001 | CSP.0046925 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-11-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
845800 | 70.006067 | Emergency Medical Technician | 2005-06-27 | 2007-05-22 - 2009-03-31 | INACTIVE |
Street Address | 26 BARTLETT CT |
City | WILBRAHAM |
State | MA |
Zip Code | 01095-1705 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kara Elizabeth Gasteyer | 6 Victoria Court, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
Ethan Michael Gasteyer | 40 Shirley Street, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
Anne M Grady | 692 Stony Hill Road, Wilbraham, MA 01095 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
Bryant A Chouinard | 5 Oldwood Rd, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Michael F Egan | 22 Fernwood Drive, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Janice A Mitchell | P.o. Box 101, Wilbraham, MA 01095 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Paul A Huijing | P.o. Box 516, Wilbraham, MA 01095 | Professional Engineer | 2020-05-05 ~ 2021-01-31 |
Dang Ngo | 38 Weston Street, Wilbraham, MA 01095 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Katlyn E O'brien | 416 Soule Road, Wilbraham, MA 01095 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Marie A Bienvenue | 3 Evergreen Circle, Wilbraham, MA 01095 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Find all Licenses in zip 01095 |
City | WILBRAHAM |
Zip Code | 01095 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WILBRAHAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laura Jeanblanc | 21 Chatfield Dr, Lakeville, CT 06039 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Laura K Lok Pa | 6 Wood Creek Rd, Burlington, CT 06013 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Laura M Smith | 20 York St, New Haven, CT 06510-3220 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Laura D Wilk Pa | 539 Smithtown Ave, Bohemia, NY 11716 | Physician Assistant | 2007-10-03 ~ 2008-10-31 |
Laura C Kozol | 97 Avonridge, Avon, CT 06001 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Laura Boone Pa | 123 Rolling Green, Middletown, CT 06457 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Laura Robinson | 424 Mather Greene Av, Charlotte, NY 28203 | Physician Assistant | 1996-06-11 ~ 1997-08-31 |
Laura L Stapleton | 3 Cobblers Lane, Old Lyme, CT 06371 | Physician Assistant | 2018-08-01 ~ 2019-07-31 |
Jessica Laura Nursick | 26 Sand Hill Rd, Portland, CT 06480-1737 | Physician Assistant | ~ |
Laura F Reddington | 22 White Oaks Ln, Madison, CT 06443-1821 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
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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).