AMY D METZEN (Credential# 1188394) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2016. The license expiration date date is October 31, 2017. The license status is INACTIVE.
AMY D METZEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003048. The credential type is physician assistant. The effective date is November 1, 2016. The expiration date is October 31, 2017. The business address is 33 Summit St, Nyack, NY 10960-3723. The current status is inactive.
| Licensee Name | AMY D METZEN |
| Credential ID | 1188394 |
| Credential Number | 23.003048 |
| Credential Type | Physician Assistant |
| Business Address |
33 Summit St Nyack NY 10960-3723 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-01-15 |
| Effective Date | 2016-11-01 |
| Expiration Date | 2017-10-31 |
| Refresh Date | 2018-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1206446 | CSP.0056710 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-02-17 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 33 SUMMIT ST |
| City | NYACK |
| State | NY |
| Zip Code | 10960-3723 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kier B Levesque | 49 Third Ave, Nyack, NY 10960 | Architect | 2020-08-01 ~ 2021-07-31 |
| Shivani B. Patel Do | 8 Riverton Drive, Nyack, NY 10960 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ann Mary Desloges | 39 Essex Green Lane, Peabody, MA 10960 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Siobhan Ann Masterson | 20 North Broadway, Nyack, NY 10960 | Licensed Clinical Social Worker | ~ |
| Eric Francis Hammermeister | 215 N Highland Ave, Nyack, NY 10960 | Emergency Medical Technician | ~ |
| Ricky M. Miano | 38c Gail Dr., Nyack, NY 10960 | Backflow Prevention Device Tester | 2017-12-31 ~ 2020-12-31 |
| Susan Ellen Morer | 4 Rockland Place, Nyack, NY 10960 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Luke A Daur | 107 S Broadway, Nyack, NY 10960 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Dominick R Pilla | 2 Lavetta, Nyack, NY 10960 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Carl Ian Graham | 118 First Ave, Nyack, NY 10960 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 10960 | |||
| City | NYACK |
| Zip Code | 10960 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NYACK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
| Connecticut Dermatology Physician Assistant Society Inc. | Po Box 847, Manchester, CT 06045 | Public Charity-exempt From Financial Requirements | ~ |
| Gretchen Treves | Physician One Urgent Care, Brookfield, CT 06804 | Physician Assistant | ~ |
| Stacey Rydzewska | 421 S End Rd, Plantsville, CT 06479 | Physician Assistant | ~ |
| James H Brown | 11-c Cos Cob Ave, Cos Cob, CT 06807 | Physician Assistant | 2005-11-15 ~ 2006-11-30 |
| Mia F Williams | 3 Old Oak Rd, Norwich, CT 06360-1500 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Stacie Meisner | Po Box 384, Albion, RI 02802-0384 | Physician Assistant | ~ |
| Aja Snow | 12 Rhinebeck Rd, Carmel, NY 10512 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on AMY D METZEN.
| 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).