MEGAN A MATHIAS PA
Physician Assistant


Address: 3 River Ave Apt 3a, Greenwich, CT 06830-6951

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 3 RIVER AVE APT 3A
City GREENWICH
State CT
Zip Code 06830-6951

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Competitor

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City GREENWICH
Zip Code 06830
License Type Physician Assistant
License Type + County Physician Assistant + GREENWICH

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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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