LYNN T TRAN PA
Physician Assistant


Address: 34-43 57 Street, Woodside, NY 11377

LYNN T TRAN PA (Credential# 1002788) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.

Business Overview

LYNN T TRAN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002610. The credential type is physician assistant. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is 34-43 57 Street, Woodside, NY 11377. The current status is active.

Basic Information

Licensee Name LYNN T TRAN PA
Credential ID 1002788
Credential Number 23.002610
Credential Type Physician Assistant
Business Address 34-43 57 Street
Woodside
NY 11377
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-08-01
Effective Date 2019-04-01
Expiration Date 2020-03-31
Refresh Date 2019-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
1029679 CSP.0051249 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-08-22 2011-08-22 - 2013-02-28 INACTIVE

Office Location

Street Address 34-43 57 STREET
City WOODSIDE
State NY
Zip Code 11377

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Heejung Lee 4039 62nd St 3fl, Woodside, NY 11377 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Yong Ye Kim 48-24 66th St Fl 2, Woodside, NY 11377 Nail Technician 2020-06-17 ~ 2021-10-31
Irene Pauline P Ilagan 4413 65th Street, Woodside, NY 11377 Physical Therapist 2020-07-01 ~ 2021-06-30
Pui Sing Yee 47-18 45th Street 2nd Floor, Woodside, NY 11377 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Zalak Patel 3982 65pl, Woodside, NY 11377 Physician/surgeon 2019-08-28 ~ 2019-11-30
Elena Tello 45-35 46th Street, Woodside, NY 11377 Registered Nurse - Temporary 2019-10-25 ~ 2020-02-22
Dominique A Elie 54-17 31st Avenue Apt 6m, Woodside, NY 11377 Master's Level Social Worker 2020-03-01 ~ 2021-02-28
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Competitor

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City WOODSIDE
Zip Code 11377
License Type Physician Assistant
License Type + County Physician Assistant + WOODSIDE

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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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