ANNA HOUSMAN (Credential# 1149455) 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.
ANNA HOUSMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002903. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 45 Portage Xing, Farmington, CT 06032-2737. The current status is active.
Licensee Name | ANNA HOUSMAN |
Credential ID | 1149455 |
Credential Number | 23.002903 |
Credential Type | Physician Assistant |
Business Address |
45 Portage Xing Farmington CT 06032-2737 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-04-03 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1159304 | CSP.0054542 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-04-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
874396 | 71.000400 | Advanced Emergency Medical Technician | 2003-04-15 | 2003-04-15 - 2005-03-31 | INACTIVE |
842748 | 70.003015 | Emergency Medical Technician | 2002-10-03 | 2002-10-03 - 2004-06-30 | INACTIVE |
Street Address | 45 PORTAGE XING |
City | FARMINGTON |
State | CT |
Zip Code | 06032-2737 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Benjamin Mucci | 43 Portage Xing, Farmington, CT 06032-2737 | Emergency Medical Technician | 2016-06-17 ~ 2019-03-31 |
Henrickson LLC | 49 Portage Xing, Farmington, CT 06032-2737 | New Home Construction Contractor | 2015-10-01 ~ 2017-09-30 |
Deborah Gilmour Pangratz | 5 Portage Xing, Farmington, CT 06032-2737 | Hypnotist | 2014-11-19 ~ 2015-10-31 |
Benjamin J Mucci | 43 Portage Xing, Farmington, CT 06032-2737 | Pharmacy Technician | 2015-01-02 ~ 2016-03-31 |
Joseph X Wrotniak | 49 Portage Xing, Farmington, CT 06032-2737 | Real Estate Salesperson | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06032 |
City | FARMINGTON |
Zip Code | 06032 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + FARMINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Housman & Bloch LLP | 399 Knollwood Rd, White Plains, NY 10603-1900 | Certified Public Accountant Firm Permit | 2012-01-01 ~ 2012-12-31 |
T. Lindsay D'anna | 85 Viscount Dr 13-b, Milford, CT 06460 | Physician Assistant | 1995-09-05 ~ 1996-08-31 |
Anna Rodonski | 58 Manor Rd, Guilford, CT 06437-1530 | Physician Assistant | 2018-07-01 ~ 2019-06-30 |
Anna-leila Williams | 131 Clifford St, Hamden, CT 06517 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
Anna M Gatewood | 1091 Arbutus St, Middletown, CT 06457-5181 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Dana Chateauneuf Pa | 149 Anna Avenue, Waterbury, CT 06708 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Anna Nowak | 25 Stevens Street, Windsor Locks, CT 06096 | Physician Assistant | 2001-06-12 ~ 2002-03-31 |
Anna Lynn Konigsmark | 14 Cottage Place, West Newton, MA 02465 | Physician Assistant | ~ |
Arno D Housman | 325 So Highland Ave, Briarcliff Manor, NY 10510 | Physician/surgeon | 2002-03-07 ~ 2003-03-31 |
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 |
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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).