STEPHANIE F BEHRENS (Credential# 1253503) 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.
STEPHANIE F BEHRENS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003250. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 3 Knollwood Rd, Farmington, CT 06032. The current status is active.
Licensee Name | STEPHANIE F BEHRENS |
Credential ID | 1253503 |
Credential Number | 23.003250 |
Credential Type | Physician Assistant |
Business Address |
3 Knollwood Rd Farmington CT 06032 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-11-25 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-02-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1256675 | CSP.0059077 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-11-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 3 Knollwood Rd |
City | Farmington |
State | CT |
Zip Code | 06032 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amy's Sweet Treats | 3 Knollwood Rd, Farmington, CT 06032 | Frozen Dessert Retailer | 2020-01-01 ~ 2020-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06032 |
City | Farmington |
Zip Code | 06032 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Farmington |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Behrens Road | 38 Behrens Road, New Hartford, CT 06057 | Community Living Arrangement | 2019-07-01 ~ 2021-06-30 |
Stephanie A Mckinney | 423 E 83rd St Apt 3b, New York, NY 10028-5520 | Physician Assistant | 2011-10-01 ~ 2012-09-30 |
Stephanie B Fridman Pa-c | 39 Beekman St Fl 4, New York, NY 10038-1521 | Physician Assistant | 2012-08-01 ~ 2013-07-31 |
Stephanie E Beierle | 12 Dewal Dr, Norwalk, CT 06851-1227 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Stephanie Chawla | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Stephanie Jamie Pham | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
Stephanie Carroll Pa | 166 Linden St Apt #b-6, New Haven, CT 06511 | Physician Assistant | 2007-08-01 ~ 2008-09-30 |
Stephanie M Lepage Pa | 534 Thrall Ave, Suffield, CT 06078 | Physician Assistant | 2010-08-01 ~ 2011-07-31 |
Stephanie H Kelly | 60 Larkspur Road, Fairfield, CT 06430 | Physician Assistant | 2000-10-24 ~ 2001-10-31 |
Stephanie Saal Aviles | 16 North Rd, East Granby, CT 06026 | Physician Assistant | ~ |
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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).