LAVINA J GAGNON PA-C (Credential# 981197) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
LAVINA J GAGNON PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002535. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 502 Quarry Brook Dr, South Windsor, CT 06074-3597. The current status is active.
| Licensee Name | LAVINA J GAGNON PA-C |
| Credential ID | 981197 |
| Credential Number | 23.002535 |
| Credential Type | Physician Assistant |
| Business Address |
502 Quarry Brook Dr South Windsor CT 06074-3597 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-01-14 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 992928 | CSP.0049961 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-04-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 502 QUARRY BROOK DR |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-3597 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ella Marker | 502 Quarry Brook Dr, South Windsor, CT 06074 | Pharmacy Technician | 2000-07-21 ~ 2001-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SOUTH WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William M Gagnon Pa | 1 Apple Lane, Ridgefield, CT 06877 | Physician Assistant | 2012-11-01 ~ 2013-10-31 |
| Lavina S. Gray | 1365 Corbin Ave, New Britain, CT 06053-3841 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Maurice Gagnon · Gagnon Remodeling | 71 Governor St, New Britain, CT 06053 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| David S Gagnon · Gagnon Floors | 45 Main St, Tariffville, CT 06081 | Home Improvement Contractor | 1999-09-21 ~ 1999-11-30 |
| Perley L Gagnon Inc | 3287 Berlin Tnpk, Newington, CT 06111 | Home Improvement Contractor | 1997-12-01 ~ 1998-11-30 |
| Lauren M Gagnon | 87 Castle Rd, Bristol, CT 06010-6024 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Guy R Gagnon · Gagnon Painting & Decorating | 56 Brook St, New Britain, CT 06051 | Home Improvement Contractor | 1995-06-26 ~ 1995-09-01 |
| Raymond J Gagnon · Gagnon Home Improvements | 439 Church St, Newington, CT 06111 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Mark Gagnon · Gagnon's Carpet | 7 Elm St, Terryville, CT 06786-6001 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on LAVINA J GAGNON PA-C.
| 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).