TARA H AUTH (Credential# 1151755) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
TARA H AUTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002890. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 46 Jennifer Dr, North Haven, CT 06473-2040. The current status is active.
| Licensee Name | TARA H AUTH |
| Credential ID | 1151755 |
| Credential Number | 23.002890 |
| Credential Type | Physician Assistant |
| Business Address |
46 Jennifer Dr North Haven CT 06473-2040 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-03-26 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1157053 | CSP.0054481 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-04-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 46 JENNIFER DR |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-2040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew Joseph Auth | 46 Jennifer Dr, North Haven, CT 06473-2040 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joshua B Mednick | 58 Jennifer Dr, North Haven, CT 06473-2040 | Emergency Medical Technician | 2020-07-01 ~ 2022-06-30 |
| Eric C Lin | 50 Jennifer Dr, North Haven, CT 06473-2040 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tara Michelle Laforge | 245 5th Ave, New York, NY 10016 | Physician Assistant | ~ |
| Tara R Flanagan | 18 Eskew Ct, Pine Bush, NY 12566-6618 | Physician Assistant | 2017-03-01 ~ 2018-02-28 |
| Tara Jean Dempsey | 26 Roseland Ave, Meriden, CT 06450-6913 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Carlimo Express, LLC (fha Auth) | 15 East Putnam Avenue, #401, Greenwich, CT 06830 | Fha Motor Passenger Carrier Vehicle (z Plate) | 2019-04-01 ~ 2021-03-31 |
| Tara Nicole Carlesco | 2200 Whitney Avenue, Hamden, CT 06518 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Tara A Satkowski | 26 Laflin St, Westfield, MA 01085 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
| Tara A Dichiaro | 80 Lake St, Moosup, CT 06354-1110 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| 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 |
| Tara E Ticomb | 530 13th St, Virginia Beach, VA 23451-4313 | Physical Therapist Assistant | 2014-05-01 ~ 2015-04-30 |
| Tara Dasso | 137 Sawmill Road, Springfield, MA 01118 | Occupational Therapist Assistant | 1999-08-02 ~ 2001-07-31 |
Please comment or provide details below to improve the information on TARA H AUTH.
| 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).