CAITLIN MCCORMICK (Credential# 1246191) 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.
CAITLIN MCCORMICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003236. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 895 Mountain Rd, Cheshire, CT 06410-3308. The current status is active.
Licensee Name | CAITLIN MCCORMICK |
Credential ID | 1246191 |
Credential Number | 23.003236 |
Credential Type | Physician Assistant |
Business Address |
895 Mountain Rd Cheshire CT 06410-3308 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-11-10 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-19 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1254417 | CSP.0059001 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-11-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
1131110 | 54 | Athletic Trainer | - | PENDING |
Street Address | 895 MOUNTAIN RD |
City | CHESHIRE |
State | CT |
Zip Code | 06410-3308 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey A Mathias | 873 Mountain Rd, Cheshire, CT 06410-3308 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Cristina Mathias | 873 Mountain Rd, Cheshire, CT 06410-3308 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
Find all Licenses in zip 06410 |
City | CHESHIRE |
Zip Code | 06410 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + CHESHIRE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Caitlin P Soucy | 98 Meriden Ave, Southington, CT 06489-3272 | Physician Assistant | 2020-03-02 ~ 2021-03-31 |
Caitlin M Fabian | 515 West Ave, Norwalk, CT 06850-4050 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Sophie Caitlin England | 6 Cider Ln, Greenville, RI 02828-1304 | Physician Assistant | ~ |
Caitlin Rose Hoey | 775 East 5th St, Boston, MA 02127 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Caitlin Talbot | 1 Hospital Plaza, Stamford, CT 06902 | Physician Assistant | 2018-06-01 ~ 2019-05-31 |
Caitlin M Reynolds | 16 Carleton Road, West Hartford, CT 06107 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Eaton and Mccormick LLC | 152 Ratting Valley Rd, Deep River, CT 06417 | Home Improvement Contractor | 2000-12-14 ~ 2001-11-30 |
Lisa M Mccormick | 137 N Brook St, Hampton, CT 06247-3600 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
Eileen K Mccormick | 137 Ingalls Rd, Cheshire, MA 01225-9731 | Physical Therapist Assistant | 2015-02-01 ~ 2016-01-31 |
Ashley M Mccormick | 117 Eagle Holw, Middletown, CT 06457-8747 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
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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).