DEVRA E STEVENSON (Credential# 1260796) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
DEVRA E STEVENSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003264. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 10 Rexinger Ln, Avon, CT 06001-2340. The current status is active.
| Licensee Name | DEVRA E STEVENSON |
| Credential ID | 1260796 |
| Credential Number | 23.003264 |
| Credential Type | Physician Assistant |
| Business Address |
10 Rexinger Ln Avon CT 06001-2340 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-01-20 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1264130 | CSP.0059274 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-01-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1036330 | 70.014339 | Emergency Medical Technician | 2011-10-21 | 2011-10-21 - 2014-06-30 | INACTIVE |
| Street Address | 10 REXINGER LN |
| City | AVON |
| State | CT |
| Zip Code | 06001-2340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ethan D Lane | 23 Rexinger Ln, Avon, CT 06001-2340 | Emergency Medical Technician | 2012-10-03 ~ 2015-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + AVON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia S Loving Pa | 180 Stevenson Rd, New Haven, CT 06515 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Devra M Krassner | 4 Milk St, Portland, ME 04101 | Naturopathic Physician | 1998-01-02 ~ 1999-03-31 |
| Devra Alexsandra Gutfreund | 703 Wilbur Road, Paterson, NJ 07503 | Physician/surgeon | ~ |
| Devra C Mintz | 17120 Royal Palm Blvd Ste 1, Weston, FL 33326-2310 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Terry W Stevenson · Tw Stevenson | 102 Hollow Rd, Winchester, CT 06098 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Rachel B Stevenson | 10 S Longyard Rd, Southwick, MA 01077-9328 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Stevenson Road | 470 Stevenson Road, New Haven, CT 06515 | Community Living Arrangement | 2019-11-01 ~ 2021-10-31 |
| Stevenson Lumber Company Inc · Gco.00663 | 1585 Monroe Tpke, Stevenson, CT 06491 | Major Contractor | 2007-07-01 ~ 2008-06-30 |
| Ellen M Stevenson | 8 Queen Street, Enfield, CT 06082 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Kimberly Stevenson | 803 East St., Hebron, CT 06248 | Family Child Care Assistant | 1997-02-01 ~ 1997-11-30 |
Please comment or provide details below to improve the information on DEVRA E STEVENSON.
| 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).