THEODORA FRASER MCPHERSON (Credential# 1270581) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
THEODORA FRASER MCPHERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003310. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 151 Clifton Street, New Haven, CT 06492. The current status is active.
| Licensee Name | THEODORA FRASER MCPHERSON |
| Credential ID | 1270581 |
| Credential Number | 23.003310 |
| Credential Type | Physician Assistant |
| Business Address |
151 Clifton Street New Haven CT 06492 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-04-07 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1276764 | CSP.0059812 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-04-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 151 Clifton Street |
| City | New Haven |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gloria Mcpherson | 151 Clifton Street, New Haven, CT 06513 | Medication Administration Certification | 2019-03-22 ~ 2021-03-22 |
| 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 | New Haven |
| Zip Code | 06492 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alison L Mcpherson | 127 Joel Drive, Hebron, CT 06248 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Karen C Fraser | 28 Country Club Lane, Easton, CT 06612 | Physician Assistant | 2005-06-29 ~ 2006-07-31 |
| Joshua L Mcpherson · Mcpherson Masonry and Design | 34 Hillside Rd, Old Lyme, CT 06371-1109 | Home Improvement Contractor | 2009-04-14 ~ 2009-11-30 |
| Gloria Shanelle Mcpherson | 151 Clifton St, New Haven, CT 06513-3319 | Family Child Care Assistant | ~ |
| Theodora T Kay Njemanze | Po Box 124, Hewlett, NY 11557-0124 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Theodora Serban | 40 East 84 Street, New York, NY 10028 | Physician/surgeon | 1993-10-25 ~ 1994-11-30 |
| Theodora's Food Service LLC | 57 Stevens St, Norwalk, CT 06850-3526 | Vending Machine Operator | 2020-07-01 ~ 2021-06-30 |
| Carole Boucher-fraser · Fraser | 44 Bristol St, Branford, CT 06405-4842 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Richard R Fraser · Fraser Contracting | 21 Beach Rd, Old Saybrook, CT 06475-2849 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Douglas Fraser · Douglas Fraser Building & Rmdlng | 42 Westover St, Torrington, CT 06790 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on THEODORA FRASER MCPHERSON.
| 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).