MEGAN D CREEDON (Credential# 1242674) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MEGAN D CREEDON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003195. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 21 Ann St Apt A42, Norwalk, CT 06854-2266. The current status is active.
| Licensee Name | MEGAN D CREEDON |
| Credential ID | 1242674 |
| Credential Number | 23.003195 |
| Credential Type | Physician Assistant |
| Business Address |
21 Ann St Apt A42 Norwalk CT 06854-2266 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-09-19 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1247136 | CSP.0058758 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-12-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1267371 | CSP.0059484 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-02-18 | 2015-02-18 - 2017-02-28 | INACTIVE |
| Street Address | 21 ANN ST APT A42 |
| City | NORWALK |
| State | CT |
| Zip Code | 06854-2266 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Benitez | 190 Ely Ave., Norwalk, CT 06854 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jessica Christina Andraszek | 7a Edgewood St, Norwalk, CT 06854 | Registered Nurse | ~ |
| Farrah Marin | 63 Bayview Avenue, Norwalk, CT 06854 | Master's Level Social Worker | ~ |
| Irma M Ross | 30 Lenox Ave, Norwalk, CT 06854 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Community Plates Inc. | 165 Water Street, Norwalk, CT 06854 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Roberto Arzuaga · West Cedar Grocery | 155 West Cedar St, Norwalk, CT 06854 | Grocery Beer | 2020-07-17 ~ 2021-07-16 |
| Faith Kiriakidis | 130 Flax Hill Road, Norwalk, CT 06854 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Andrew Gotlin | 1 North Water Street, Norwalk, CT 06854 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Shunxia Guan | 360 Connecticut Ste 2, Norwalk, CT 06854 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Zhenyu Quan | 360 Connecticut Ave Suit 2, Norwalk, CT 06854 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06854 | |||
| City | NORWALK |
| Zip Code | 06854 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Megan H Abo | 18 Three Mile Rd, Glastonbury, CT 06033 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
| Megan V Reynolds | 155 Clearview Ave, Harwinton, CT 06791-1603 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Megan E Downey | 43 Greenacre Ave, Longmeadow, MA 01106 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Megan M Ciocca Pa | 432 Edison Rd, Trumbull, CT 06611 | Physician Assistant | 2004-06-16 ~ 2005-06-30 |
| Megan F Watson Pa | 94 Evelyn St, Trumbull, CT 06611 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Megan A Mathias Pa | 3 River Ave Apt 3a, Greenwich, CT 06830-6951 | Physician Assistant | 2016-03-01 ~ 2017-02-28 |
| Megan Hofmann | 40 Prospect Ave Bldg 2, Norwalk, CT 06850-3737 | Physician Assistant | 2018-03-01 ~ 2019-02-28 |
| Megan Elizabeth Ganzenmuller | 39 Pawnee Dr, Commack, NY 11725-4225 | Physician Assistant | 2020-06-17 ~ 2021-03-31 |
| Megan P Cody Pa | 21 Colonial Green, Loudonville, NY 12211 | Physician Assistant | 2017-05-01 ~ 2018-04-30 |
| Megan Teixeira Kolanovic | 22 Stowe Pl, Trumbull, CT 06611-5125 | Physician Assistant | 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).