AMY L. DEDEA PA (Credential# 923252) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 19, 2010. The license expiration date date is March 31, 2011. The license status is INACTIVE.
AMY L. DEDEA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002405. The credential type is physician assistant. The effective date is May 19, 2010. The expiration date is March 31, 2011. The business address is 59 Rabbit Rock Rd, East Haven, CT 06513-1230. The current status is inactive.
Licensee Name | AMY L. DEDEA PA |
Credential ID | 923252 |
Credential Number | 23.002405 |
Credential Type | Physician Assistant |
Business Address |
59 Rabbit Rock Rd East Haven CT 06513-1230 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2010-05-19 |
Effective Date | 2010-05-19 |
Expiration Date | 2011-03-31 |
Refresh Date | 2017-05-01 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
933279 | CSP.0047701 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-06-07 | 2010-06-07 - 2011-02-28 | INACTIVE |
Street Address | 59 RABBIT ROCK RD |
City | EAST HAVEN |
State | CT |
Zip Code | 06513-1230 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jess Crosby | 59 Rabbit Rock Rd, East Haven, CT 06513-1230 | Home Improvement Salesperson | 2009-12-01 ~ 2010-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carol-ann Dahlmeyer | 51 Rabbit Rock Rd, East Haven, CT 06513-1230 | Real Estate Salesperson | 2014-01-14 ~ 2014-05-31 |
Home Appeal LLC | 51 Rabbit Rock Rd, East Haven, CT 06513-1230 | Home Improvement Contractor | 2011-12-01 ~ 2012-11-30 |
Francis J Dahlmeyer | 51 Rabbit Rock Rd, East Haven, CT 06513-1230 | Real Estate Salesperson | 2010-12-02 ~ 2011-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Odalys Guartan | 17 Dell Dr, East Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
Marilu E Espinsa | 148 Poplar St, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Javon Christian Woodard | 404 Poplar St, New Haven, CT 06513 | Registered Nurse | ~ |
Norma Congacha | 22 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-05-31 |
Sonia Sunanita Salazar | 48 Wolcott St 1 L., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Rosa Zuna | 426 Ferry St. 1st Fl, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Veronica Congacha | 28 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jessica L Vallejo | 41 Oak Ridge Dr, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
Ami Nosenzo · Nosenzo | 1423 Quinnipiac Ave, New Haven, CT 06513 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Taquetta Delis Mitchell | 40 Foxon Hill Rd I34, New Haven, CT 06513 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06513 |
City | EAST HAVEN |
Zip Code | 06513 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + EAST HAVEN |
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 |
Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
Connecticut Dermatology Physician Assistant Society Inc. | Po Box 847, Manchester, CT 06045 | Public Charity-exempt From Financial Requirements | ~ |
Gretchen Treves | Physician One Urgent Care, Brookfield, CT 06804 | Physician Assistant | ~ |
Mia F Williams | 3 Old Oak Rd, Norwich, CT 06360-1500 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
James H Brown | 11-c Cos Cob Ave, Cos Cob, CT 06807 | Physician Assistant | 2005-11-15 ~ 2006-11-30 |
Stacey Rydzewska | 421 S End Rd, Plantsville, CT 06479 | Physician Assistant | ~ |
Aja Snow | 12 Rhinebeck Rd, Carmel, NY 10512 | Physician Assistant | ~ |
L. Katherine Grasso | Po Box 191, Sudbury, MA 01776-0191 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on AMY L. DEDEA 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).