MEGAN M ROURKE (Credential# 934202) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MEGAN M ROURKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002412. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1245 New Britain Ave, West Hartford, CT 06110-2404. The current status is active.
Licensee Name | MEGAN M ROURKE |
Credential ID | 934202 |
Credential Number | 23.002412 |
Credential Type | Physician Assistant |
Business Address |
1245 New Britain Ave West Hartford CT 06110-2404 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2010-06-07 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-19 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
944198 | CSP.0048076 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-07-27 | 2011-03-01 - 2013-02-28 | INACTIVE |
Street Address | 1245 NEW BRITAIN AVE |
City | WEST HARTFORD |
State | CT |
Zip Code | 06110-2404 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
China Buffet | 1245 New Britain Ave, West Hartford, CT 06110 | Frozen Dessert Retailer | 1999-01-01 ~ 1999-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Diem Thuy Nguyen | 25 Brian Road, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
Dominick E Deslauriers | 67 Red Top Drive, West Hartford, CT 06110 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Markos Raptis Dds | 61 Park Place Circle, West Hartford, CT 06110 | Dentist | 2020-07-01 ~ 2021-06-30 |
Keith A Dumond | 83 Mayflower Street, West Hartford, CT 06110 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Yayan Tong | 6 Steven St, West Hartford, CT 06110 | Nail Technician | ~ |
Apsara Thapa | 15 Lewis Lane, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Aneudi J Rodriguez Perez | 24 Elmhurt Circle, West Hartford, CT 06110 | Real Estate Salesperson | ~ |
Frances B Gurtman Md | 445 S Main Street, West Hartford, CT 06110 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Diana M Rodriguez | 445 South Main St, West Hartford, CT 06110 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jong Lee | 6 Timothy, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 06110 |
City | WEST HARTFORD |
Zip Code | 06110 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Megan D Creedon | 21 Ann St Apt A42, Norwalk, CT 06854-2266 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Megan H Abo | 18 Three Mile Rd, Glastonbury, CT 06033 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
Megan A Mathias Pa | 3 River Ave Apt 3a, Greenwich, CT 06830-6951 | Physician Assistant | 2016-03-01 ~ 2017-02-28 |
Megan E Downey | 43 Greenacre Ave, Longmeadow, MA 01106 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
Megan V Reynolds | 155 Clearview Ave, Harwinton, CT 06791-1603 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Megan M Ciocca Pa | 432 Edison Rd, Trumbull, CT 06611 | Physician Assistant | 2004-06-16 ~ 2005-06-30 |
Megan F Watson Pa | 94 Evelyn St, Trumbull, CT 06611 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Megan Teixeira Kolanovic | 22 Stowe Pl, Trumbull, CT 06611-5125 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Megan Elizabeth Ganzenmuller | 39 Pawnee Dr, Commack, NY 11725-4225 | Physician Assistant | 2020-06-17 ~ 2021-03-31 |
Megan P Cody Pa | 21 Colonial Green, Loudonville, NY 12211 | Physician Assistant | 2017-05-01 ~ 2018-04-30 |
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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).