SUSANNE M FARRELL (Credential# 1193451) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SUSANNE M FARRELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003030. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 107 Beechwood Pl, Staten Island, NY 10314-3065. The current status is active.
| Licensee Name | SUSANNE M FARRELL |
| Credential ID | 1193451 |
| Credential Number | 23.003030 |
| Credential Type | Physician Assistant |
| Business Address |
107 Beechwood Pl Staten Island NY 10314-3065 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-12-11 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-27 |
| Street Address | 107 BEECHWOOD PL |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-3065 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Lebowitz | 289 Portage Avenue, Staten Island, NY 10314 | Behavior Analyst | 2020-09-01 ~ 2021-08-31 |
| Dylan L Thompson | Po Box 460, Staten Island, NY 10314 | Registered Nurse | 2020-06-16 ~ 2021-04-30 |
| Soon Aee Yoon | 121 Essex Drive, Staten Island, NY 10314 | Nail Technician | ~ |
| Chih-hsun Hsu | 479 Fanning Street, Staten Island, NY 10314 | Registered Nurse | 2020-05-18 ~ 2021-02-28 |
| Yadell A Supil | 171 Bradley Avenue, Staten Island, NY 10314 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Joan Denise Sullivan | 18 Hawthorne Ave., Staten Island, NY 10314 | Registered Nurse | ~ |
| Silpa M Mathew | 469 Woolley Ave, Staten Island, NY 10314 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Michael T Hill | 248 Leonard Avenue, Staten Island, NY 10314 | Pharmacist | 2020-01-28 ~ 2020-01-31 |
| Susie X Yang | 58 Goller Pl, Staten Island, NY 10314 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Jun Ma | 445 Willowbrook Rd, Staten Island, NY 10314 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 10314 | |||
| City | STATEN ISLAND |
| Zip Code | 10314 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STATEN ISLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susanne Harris | 1700 Little, Guilford, CT 06437 | Physician Assistant | 2007-11-15 ~ 2009-01-31 |
| Susanne Dk Smith | 622 Millers Way, Simsbury, CT 06070 | Physician Assistant | 2014-08-01 ~ 2015-07-31 |
| John M Farrell | 202 S Brooksvale Rd, Cheshire, CT 06410 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Hannah Farrell | 330 Tunxis Ave, Bloomfield, CT 06002-1210 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Elisabeth H Farrell Pa | 332 Tunxis Ave, Bloomfield, CT 06002 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Susanne D Branco | 27 Northridge Rd, Naugatuck, CT 06770-1540 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Jack E Farrell · Farrell Construction | 85 South Cherry St, Wallingford, CT 06492 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| Lawrence S Farrell · Farrell Paperhanging | 120 Bunnell Ave, Stratford, CT 06614 | Home Improvement Contractor | 2000-01-06 ~ 2000-11-30 |
| Richard Farrell · Farrell Construction Company | 56 Oxbow Drive, Avon, CT 06001 | Home Improvement Contractor | 1996-04-02 ~ 1996-11-30 |
| Susanne F O'meara | 37 Hawthorne Drive, Monroe, CT 06468 | Certified Public Accountant Firm Permit | 2019-01-01 ~ 2019-12-31 |
Please comment or provide details below to improve the information on SUSANNE M FARRELL.
| 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).