MEGAN A MATHIAS PA (Credential# 938631) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2016. The license expiration date date is February 28, 2017. The license status is INACTIVE.
MEGAN A MATHIAS PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002423. The credential type is physician assistant. The effective date is March 1, 2016. The expiration date is February 28, 2017. The business address is 3 River Ave Apt 3a, Greenwich, CT 06830-6951. The current status is inactive.
Licensee Name | MEGAN A MATHIAS PA |
Credential ID | 938631 |
Credential Number | 23.002423 |
Credential Type | Physician Assistant |
Business Address |
3 River Ave Apt 3a Greenwich CT 06830-6951 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2010-07-14 |
Effective Date | 2016-03-01 |
Expiration Date | 2017-02-28 |
Refresh Date | 2017-06-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
973937 | CSP.0049292 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-11-08 | 2011-03-01 - 2013-02-28 | INACTIVE |
Street Address | 3 RIVER AVE APT 3A |
City | GREENWICH |
State | CT |
Zip Code | 06830-6951 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
Michele S Bergen | Greenwich Medical Building, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Find all Licenses in zip 06830 |
City | GREENWICH |
Zip Code | 06830 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + GREENWICH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mathias Ikhanzuangbe Aihiokhai | 2002 Briar Woods Ln, Danbury, CT 06810-7437 | Physician Assistant | 2020-02-29 ~ 2021-02-28 |
Kathy L Mathias · Mathias | 54 Baldwin Brook Rd, Canterbury, CT 06331-1805 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Megan H Abo | 18 Three Mile Rd, Glastonbury, CT 06033 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
Megan D Creedon | 21 Ann St Apt A42, Norwalk, CT 06854-2266 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Megan F Watson Pa | 94 Evelyn St, Trumbull, CT 06611 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Megan V Reynolds | 155 Clearview Ave, Harwinton, CT 06791-1603 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Megan E Downey | 43 Greenacre Ave, Longmeadow, MA 01106 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
Megan M Ciocca Pa | 432 Edison Rd, Trumbull, CT 06611 | Physician Assistant | 2004-06-16 ~ 2005-06-30 |
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).