KATHERINE M BAIRD (Credential# 1150947) 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.
KATHERINE M BAIRD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002902. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 85 Grandview Drive, Lebanon, CT 06249. The current status is active.
| Licensee Name | KATHERINE M BAIRD |
| Credential ID | 1150947 |
| Credential Number | 23.002902 |
| Credential Type | Physician Assistant |
| Business Address |
85 Grandview Drive Lebanon CT 06249 |
| 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 | 2020-03-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1163573 | CSP.0054696 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-05-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 85 Grandview Drive |
| City | Lebanon |
| State | CT |
| Zip Code | 06249 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana Bazzano | 106 Bascom Road, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Alan Peed | 353 Randall Rd, Lebanon, CT 06249 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| David Hooper | 100 Barker Rd, Lebanon, CT 06249 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Matthew L Smith Aprn | 336 Babcock Hill Rd, Lebanon, CT 06249 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Anna M Bender · Warzecha | 58 Barker Rd, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Leslie H Cote | 236 Mack Road, Lebanon, CT 06249 | Notary Public Appointment | 2016-06-01 ~ 2021-05-31 |
| Alyna J Stober | 40 Meadow Ridge Dr., Lebanon, CT 06249 | Emergency Medical Technician | ~ |
| Susan L Lambert | 648 Tobacco St, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John J Buda | 46 Ryan Terrace, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Amy Margaret Yankanich | 67 Reservoir Rd, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06249 | |||
| City | Lebanon |
| Zip Code | 06249 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Lebanon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| L. Katherine Grasso | Po Box 191, Sudbury, MA 01776-0191 | Physician Assistant | ~ |
| Katherine S O'connor | 131 Redlands St, Springfield, MA 01104-2911 | Physician Assistant | 2012-11-21 ~ 2013-11-30 |
| Katherine E Voss | 93 Kenneth Dr, Vernon, CT 06066 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Katherine Mary White | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
| Mariella Katherine Castro | 245 5th Ave, New York, NY 10016 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Morgan Katherine D'antuono | 262 Paradise Rd, Golden, CO 80401-9457 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Katherine Landry Gaston | 152 Montowese Street, Branford, CT 06405 | Physician Assistant | ~ |
| Katherine Chase | 11 Merwin Street, Norwalk, CT 06850 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Katherine L Boxberger Pa | 12 Monitor Hill Rd, Newtown, CT 06470-2243 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Katherine E Beam | 3310 34th Ave Apt B1, Astoria, NY 11106-1812 | Physician Assistant | 2017-02-01 ~ 2018-01-31 |
Please comment or provide details below to improve the information on KATHERINE M BAIRD.
| 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).