HANNAH B SULLIVAN (Credential# 947629) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
HANNAH B SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002471. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 22 Harvest Ln, West Hartford, CT 06117-3026. The current status is active.
| Licensee Name | HANNAH B SULLIVAN |
| Credential ID | 947629 |
| Credential Number | 23.002471 |
| Credential Type | Physician Assistant |
| Business Address |
22 Harvest Ln West Hartford CT 06117-3026 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-09-16 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1611865 | CSP.0069799 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-31 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 968455 | CSP.0049048 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-10-06 | 2013-03-01 - 2015-02-28 | INACTIVE |
| 847740 | 70.008007 | Emergency Medical Technician | 2006-11-15 | 2006-11-15 - 2008-06-30 | INACTIVE |
| Street Address | 22 HARVEST LN |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-3026 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | WEST HARTFORD |
| Zip Code | 06117 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hannah Perna | 326 Washington St, Norwich, CT 06360-2740 | Physician Assistant | ~ |
| Hannah Farrell | 330 Tunxis Ave, Bloomfield, CT 06002-1210 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Ariana Hannah Philbin | 330 Cedar St, New Haven, CT 06510-3218 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Hannah Enterprises LLC · Quick Stop Convinence Store | 180 Sullivan Ave, South Windsor, CT 06074-1915 | Operator of Weighing & Measuring Devices | 2014-08-01 ~ 2015-07-31 |
| Victoria M Sullivan | 93 Lacey Rd, Bethany, CT 06524-3021 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Michael K Sullivan | 17 Sayles Ave, Lincoln, RI 02865-2133 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Sarah B Sullivan Pa-c | 113 Old Stratfield Rd, Fairfield, CT 06825 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jill M Sullivan | 142 Bellridge Rd, Glastonbury, CT 06033-1462 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Scott F Sullivan | 31 Walnut Road, Barrington, RI 02806 | Physician Assistant | 2009-06-17 ~ 2010-06-30 |
| Debra M Sullivan Pa | 9 Clearview Dr, Sandy Hook, CT 06482 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on HANNAH B SULLIVAN.
| 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).