SEAN M. MCGOVERN (Credential# 1194476) 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.
SEAN M. MCGOVERN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003053. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 32 Grace Lane, Portland, CT 06480. The current status is active.
| Licensee Name | SEAN M. MCGOVERN |
| Credential ID | 1194476 |
| Credential Number | 23.003053 |
| Credential Type | Physician Assistant |
| Business Address |
32 Grace Lane Portland CT 06480 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-02-21 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1218199 | CSP.0057029 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-04-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 32 Grace Lane |
| City | Portland |
| State | CT |
| Zip Code | 06480 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Macks Bite Size | 32 Grace Lane, Portland, CT 06480 | Vending Machine Operator | 1996-07-01 ~ 1997-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Galladex Bd T85% I 9082 | 47 Lower Main St, Portland, CT 06480 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
| Suzanne S O'rourke | 35 Apple Tree Lane, Portland, CT 06480 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Gui Jiang | Sunny�s Nail&spa, Portland, CT 06480 | Nail Technician | 2020-06-26 ~ 2021-12-31 |
| Kevin R Johnson | 20 Mountain Laurel Way, Portland, CT 06480 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Aaron A Adams | 138 High Street, Portland, CT 06480 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Amanda R. Weinberger | 270 Main St. Suite A, Portland, CT 06480 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen L Cianci | 3 Myrtle Rd, Portland, CT 06480 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Joseph Bials | P.o. Box 546, Portland, CT 06480 | Sub-surface Sewage Installer | 2020-05-01 ~ 2021-04-30 |
| Olivia Jane Briggs | 6 Allen Street, Portland, CT 06480 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Donna M Dubay | 8 Penny Corner Road, Portland, CT 06480 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06480 | |||
| City | Portland |
| Zip Code | 06480 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Portland |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick M Mcgovern · Mcgovern Contracting | C-6 St Marc Circle, South Windsor, CT 06074 | Home Improvement Contractor | 1997-12-01 ~ 1998-11-30 |
| Sean Mcgovern | 45 Princess Dr, Madison, CT 06443-1608 | Emergency Medical Technician | 2020-10-01 ~ 2022-09-30 |
| Sean M Mcgovern | 18 Cayuga Dr, Wappingers Falls, NY 12590-4032 | Emergency Medical Technician | ~ |
| Sean A Lynch Pa-c | 160 Ardmore St, Hamden, CT 06517 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Sean Edward Hoffman | 311 E Main St, Westfield, MA 01085-3307 | Physician Assistant | 2020-05-01 ~ 2021-05-31 |
| Sean Phillips | 307 State Route 187, Milan, TN 38358-6253 | Physician Assistant | 2019-06-01 ~ 2020-05-31 |
| Sean P Dunn | 7030 Los Arboles Ave, Atascadero, CA 93422-4100 | Physician Assistant | 2018-07-01 ~ 2019-06-30 |
| Sean A Miner Pa | 314 Fern St, West Hartford, CT 06119 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Sean T. Mcgovern | 127 Main St. North, Woodbury, CT 06798 | Hoisting Equipment Operator | 2004-11-01 ~ 2006-10-31 |
| Sean Ervin Lisk | 191 Spring St, South Salem, NY 10590-1615 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SEAN M. MCGOVERN.
| 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).