KATHLEEN K TREANOR (Credential# 1210486) 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.
KATHLEEN K TREANOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003096. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 111 Jamestown Dr, Springfield, MA 01108-3145. The current status is active.
| Licensee Name | KATHLEEN K TREANOR |
| Credential ID | 1210486 |
| Credential Number | 23.003096 |
| Credential Type | Physician Assistant |
| Business Address |
111 Jamestown Dr Springfield MA 01108-3145 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-05-15 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1216183 | CSP.0056967 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-05-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 111 JAMESTOWN DR |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01108-3145 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gayle D Midura | 105 Jamestown Dr, Springfield, MA 01108-3145 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sang Lam | 11 Herman Streets, Springfield, MA 01108 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Di Fu | 18 Eldridge St, Springfield, MA 01108 | Hairdresser/cosmetician | ~ |
| Ewanjigi Wangui Wanjigi | 157 Layfred Terrace St, Springfield, MA 01108 | Licensed Practical Nurse | ~ |
| Vy Thanh Tran | 68 Kenwood Park, Springfield, MA 01108 | Nail Technician | ~ |
| David Ji Soo Kim | 38 Whittier St Apt A, Springfield, MA 01108 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2021-09-30 |
| Frances I Moran | 66 Parkedge Ave, Springfield, MA 01108 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hwarim Oh | 38 Whittier St, Springfield, MA 01108 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Alice F Thomas | 91 Audubon St, Springfield, MA 01108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Italian Bread Shop Inc | 187 Orange St, Springfield, MA 01108 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Renee D Mix | 23 Irvington Street, Springfield, MA 01108 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 01108 | |||
| City | SPRINGFIELD |
| Zip Code | 01108 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen M Shea | 182 Front St., New Haven, CT 06513 | Physician Assistant | 2017-10-01 ~ 2018-09-30 |
| Kathleen Wilcox | 47 Millard St Fl 2, New Britain, CT 06051-2431 | Physician Assistant | 2020-06-25 ~ 2020-09-30 |
| Kathleen M Reccord Pa | 9 1/2 Oakland St, Wilbraham, MA 01095 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kathleen F Latronica Pa-c | 39 Round Hill Rd, Woodbridge, CT 06525 | Physician Assistant | 2012-07-01 ~ 2013-06-30 |
| Kathleen M Orazietti Pa | 717 Long Hill Ave., Shelton, CT 06484 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Kathleen Hutcheon | 105 Pleasant Ave, White Plains, NY 10605 | Physician Assistant | 1996-08-26 ~ 1997-10-31 |
| Kathleen Kelliher Pa | 111 Whiting Lane, West Hartford, CT 06119 | Physician Assistant | 2019-07-01 ~ 2020-06-30 |
| Treanor Real Estate LLC | 31 Liberty St, Southington, CT 06489-3114 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Kathleen Mary Kellerman Pa | 11 Saxton Lane, Broad Brook, CT 06016 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Rachel Kathleen Valdivieso | 55 Dorset Xing Unit 325, Simsbury, CT 06070-1476 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).