ELEANOR D BLYTHE (Credential# 1265799) 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.
ELEANOR D BLYTHE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003306. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 32 Stillwood Road, Wallingford, CT 06492. The current status is active.
| Licensee Name | ELEANOR D BLYTHE |
| Credential ID | 1265799 |
| Credential Number | 23.003306 |
| Credential Type | Physician Assistant |
| Business Address |
32 Stillwood Road Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-03-23 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1273850 | CSP.0059747 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 32 Stillwood Road |
| City | Wallingford |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | Wallingford |
| Zip Code | 06492 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Wallingford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William C Kohlhepp Pa | 9 Eleanor Rd, North Haven, CT 06473 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Blythe & Son, Inc. | 71 Beach Ave., Madison, CT 06443 | Demolition Contractor | 1991-04-01 ~ 1992-03-31 |
| William Blythe & Son Inc | 33r Fowler Road, North Branford, CT 06471 | Demolition Contractor | 1997-10-01 ~ 1998-09-30 |
| Denham Blythe Company | 100 Trade St, Lexington, KY 40511 | Professional Engineering Corporation | 2005-11-15 ~ 2006-11-15 |
| Blythe Elizabeth Bowman | 4850 Northshore Ln, North Little Rock, AR 72118 | Physician/surgeon | 2018-10-16 ~ 2019-06-30 |
| Teresa L Degiacomo | 10 Eleanor Street, Vernon, CT 06066 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Andrea T Lapenta | 4 Eleanor Drive, Vernon, CT 06066 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Eleanor R Austin | 157 Den Road, Stamford, CT 06903 | Family Child Care Assistant | 2001-10-31 ~ 2005-10-31 |
| Elanor A Bianchini · Eleanor Caffrey | 42 Richmond Avenue, Worcester, MA 01602 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on ELEANOR D BLYTHE.
| 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).