KIMBERLY L BELLAVANCE
Physician Assistant


Address: 35 Farmwood Drive, Colchester, CT 06415

KIMBERLY L BELLAVANCE (Credential# 1047470) 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.

Business Overview

KIMBERLY L BELLAVANCE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002714. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 35 Farmwood Drive, Colchester, CT 06415. The current status is active.

Basic Information

Licensee Name KIMBERLY L BELLAVANCE
Credential ID 1047470
Credential Number 23.002714
Credential Type Physician Assistant
Business Address 35 Farmwood Drive
Colchester
CT 06415
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-01-24
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-06-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1047843 CSP.0051876 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-01-26 2019-03-11 - 2021-02-28 ACTIVE

Office Location

Street Address 35 Farmwood Drive
City Colchester
State CT
Zip Code 06415

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Ashley Shattuck 66 South Road, Colchester, CT 06415 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
Linda Smith · Lamb 25 Loomis Road, Colchester, CT 06415 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Vincent Vespa Jr 671 Norwich Ave, Colchester, CT 06415 Sub-surface Sewage Installer 2020-09-01 ~ 2021-08-31
Deborah L Strong · Bowen 98 Lebanon Avenue, Colchester, CT 06415 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Lucy A Boisse 115 Stanavage Road, Colchester, CT 06415 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Alicia R Bohnenkamper 906 Canterbury Lane, Colchester, CT 06415 Notary Public Appointment 2011-09-28 ~ 2016-09-30
Anna M Sofia 75 B Elmwood Heights, Colcheshter, CT 06415 Registered Nurse 2020-07-01 ~ 2021-06-30
J J Noels Supermarket 15 Broadway, Colchester, CT 06415 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Linda S Kvasnik 69 Colburn Dr, Colchester, CT 06415 Registered Nurse 2020-08-01 ~ 2021-07-31
James W Bansemer · General Builders & Remodelers 87 O'connell Road, Colchester, CT 06415 Home Improvement Contractor 2020-06-25 ~ 2020-11-30
Find all Licenses in zip 06415

Competitor

Search similar business entities

City Colchester
Zip Code 06415
License Type Physician Assistant
License Type + County Physician Assistant + Colchester

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
John Bellavance · Bellavance Trucking & Excavating 378 N Main Street, Moosup, CT 06354 New Home Construction Contractor 2011-10-01 ~ 2013-09-30
Kimberly Keane Kimberly Keane Pa-c, Derby, CT 06418 Physician Assistant 2020-07-01 ~ 2021-06-30
Kathryn L Bellavance 389 Sterling Hill Rd, Moosup, CT 06354-2033 Physical Therapist Assistant 2020-07-01 ~ 2021-06-30
Bellavance Properties LLC · Turtles Taco Shop 178 Providence St, Putnam, CT 06260-1512 Frozen Dessert Retailer 2013-01-01 ~ 2013-12-31
Barry T. Bellavance, Cpa 30 Park Street, Box 685, Putnam, CT 06260 Certified Public Accountant Firm Permit 2005-01-01 ~ 2005-12-31
Bellavance & King Cpa's LLC 30 Park Street, Putnam, CT 06260 Certified Public Accountant Firm Permit 2008-01-01 ~ 2008-12-31
Bellavance Farm LLC 318 Sterling Hill Rd, Moosup, CT 06354-2034 Hemp Grower 2019-12-31 ~ 2021-12-31
Bellavance Transportation LLC 378 N Main St, Moosup, CT 06354-1122 Operator of Weighing & Measuring Devices 2012-08-01 ~ 2013-07-31
Bellavance Excavating 378 N. Main St., Moosup, CT 06354 Demolition Contractor 2012-07-01 ~ 2013-06-30
Kimberly A Sweezy 21 Collier Rd, Wethersfield, CT 06109-3525 Physician Assistant 2020-03-01 ~ 2021-02-28

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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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