ELIZABETH C GRASSO
Physician Assistant


Address: Elizabeth Grasso, Stamford, CT 06905

ELIZABETH C GRASSO (Credential# 1121215) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.

Business Overview

ELIZABETH C GRASSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002843. The credential type is physician assistant. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is Elizabeth Grasso, Stamford, CT 06905. The current status is active.

Basic Information

Licensee Name ELIZABETH C GRASSO
Credential ID 1121215
Credential Number 23.002843
Credential Type Physician Assistant
Business Address Elizabeth Grasso
Stamford
CT 06905
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-10-05
Effective Date 2019-09-01
Expiration Date 2020-08-31
Refresh Date 2019-08-31

Other licenses

ID Credential Code Credential Type Issue Term Status
1148506 CSP.0054199 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-02-07 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address Elizabeth Grasso
City STAMFORD
State CT
Zip Code 06905

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Competitor

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City STAMFORD
Zip Code 06905
License Type Physician Assistant
License Type + County Physician Assistant + STAMFORD

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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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