CRYSTAL L ROSE PA-C (Credential# 1028512) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
CRYSTAL L ROSE PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002640. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 216 Church St, Newington, CT 06111. The current status is active.
| Licensee Name | CRYSTAL L ROSE PA-C |
| Credential ID | 1028512 |
| Credential Number | 23.002640 |
| Credential Type | Physician Assistant |
| Business Address |
216 Church St Newington CT 06111 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-09-12 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1034749 | CSP.0051451 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-09-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 216 Church St |
| City | Newington |
| State | CT |
| Zip Code | 06111 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dashiell J Anderson | 216 Church St, Newington, CT 06111-4806 | Emergency Medical Technician | 2019-07-01 ~ 2022-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | Newington |
| Zip Code | 06111 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Newington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristin Hall | 39 Crystal St, New Canaan, CT 06840 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Crystal H Chung Pa | 39 Cross Lane, Cos Cob, CT 06807 | Physician Assistant | 2000-02-21 ~ 2001-02-28 |
| Crystal Clarkin Pa | 2 Johnnycake Ln, Ivoryton, CT 06442 | Physician Assistant | 2007-07-02 ~ 2008-06-30 |
| Crystal A Huynh | 14 Heather Ln, Wilton, CT 06897-4132 | Physician Assistant | 2013-05-22 ~ 2013-11-30 |
| Crystal D Ryder Pa-c | 96 Burr Road, Cochecton, NY 12726 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
| Jaclyn D Colfer | 22 Crystal Brook Rd, Wolcott, CT 06716-1343 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Tessa Rose Konczylo | 40 Bertrose Ave, Milford, CT 06460-5906 | Physician Assistant | ~ |
| Alyson Rose Vogel | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
| Jessica F Rosenthal | 14 Rose Ct, Providence, RI 02906-4637 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Robin Rose Pa-c | 36 Lincoln St, North Haven, CT 06473 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on CRYSTAL L ROSE 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).