AMY L. DEDEA PA
Physician Assistant


Address: 59 Rabbit Rock Rd, East Haven, CT 06513-1230

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 59 RABBIT ROCK RD
City EAST HAVEN
State CT
Zip Code 06513-1230

Licenses in the same location

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

Licenses in the same zip code

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

Licenses in the same zip code

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
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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

Competitor

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City EAST HAVEN
Zip Code 06513
License Type Physician Assistant
License Type + County Physician Assistant + EAST HAVEN

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Dataset Information

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).

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