GILLIAN F HEPBURN (Credential# 1168462) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
GILLIAN F HEPBURN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002931. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 330 Orchard St Ste 164, New Haven, CT 06511-4429. The current status is active.
| Licensee Name | GILLIAN F HEPBURN |
| Credential ID | 1168462 |
| Credential Number | 23.002931 |
| Credential Type | Physician Assistant |
| Business Address |
330 Orchard St Ste 164 New Haven CT 06511-4429 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-07-09 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1175617 | CSP.0055576 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 899919 | 70.011421 | Emergency Medical Technician | 2009-10-07 | 2009-10-07 - 2014-03-31 | INACTIVE |
| Street Address | 330 ORCHARD ST STE 164 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-4429 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stanton C Honig | 330 Orchard St Ste 164, New Haven, CT 06511-4429 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Stanton Honig Md | 330 Orchard St Ste 164, New Haven, CT 06511-4429 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Urology Clinic-orchard Yale-new Haven Hospital | 330 Orchard St Ste 164, New Haven, CT 06511-4429 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George A Yavorek | 330 Orchard St Ste 309, New Haven, CT 06511-4429 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Aesthetic Surgery Center | 330 Orchard St Ste 211, New Haven, CT 06511-4429 | Out-patient Surgical Facility | 2016-01-01 ~ 2017-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christiane G Nockels Pa | 80 Hepburn Rd, Hamden, CT 06517 | Physician Assistant | 2018-12-01 ~ 2019-11-30 |
| Gillian K Vandervliet | 24 Stratton Drive, Cheshire, CT 06410 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Robert H Hepburn | 91 Pioneer Dr, West Hartford, CT 06117 | Physician/surgeon | 2000-02-21 ~ 2001-04-30 |
| Ryan P Drake | 2121 Hepburn St Apt 1201, Houston, TX 77054-3221 | Resident Physician | 2017-07-01 ~ 2022-06-30 |
| Gillian's Foods Inc | 45 Congress St Bldg 160, Salem, MA 01970-5579 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Gillian Brennan | 1330 1st Ave. Apt 418, New York, NY 10021 | Physician/surgeon | 2008-09-09 ~ 2009-03-31 |
| Gillian H Levy | 13 Wilmot Ln, Riverside, CT 06878-1612 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gillian Ls Soles | 1313 18th St. Apt. 6, Santa Monica, CA 90404 | Physician/surgeon | 2014-03-01 ~ 2015-02-28 |
| 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 |
| Katharine Hepburn Cultural Arts Center Inc | 300 Main St, Old Saybrook, CT 06475-2395 | Public Charity | 2020-06-01 ~ 2021-05-31 |
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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).