STEPHEN PAUL CALLAHAN (Credential# 1357180) 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.
STEPHEN PAUL CALLAHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003624. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 114 Woodland St, Hartford, CT 06105. The current status is active.
| Licensee Name | STEPHEN PAUL CALLAHAN |
| Credential ID | 1357180 |
| Credential Number | 23.003624 |
| Credential Type | Physician Assistant |
| Business Address |
114 Woodland St Hartford CT 06105 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-12 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1361680 | CSP.0063221 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 114 Woodland St |
| City | Hartford |
| State | CT |
| Zip Code | 06105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie M Peck | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Kaitlin M Renkosiak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Frank I Jackson | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Diana Andres | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Kristina C Bystrak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Podiatrist | 2019-06-24 ~ 2022-06-23 |
| Helen Stolyar | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Alexander Almeida Larrea | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Kenneth Bryan Keplinger | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Roxanne F Zarmsky | 114 Woodland St, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Geetha P Bhumireddy Md | 114 Woodland St, Hartford, CT 06105-4318 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | Hartford |
| Zip Code | 06105 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen Paul Welch | 14 Memory Ln, Waterford, CT 06385-1966 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Michael W Callahan | 98 Bay Road, Hadley, MA 01035-9688 | Physician Assistant | 2005-04-11 ~ 2006-05-31 |
| J P Callahan Ltd LLC | 56 Bridlewood Rd, South Windsor, CT 06074 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Stephen A Pollani | 121 Fan Hill Rd, Monroe, CT 06468-1830 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Stephen Weyel | 7 Cypress Dr, Branford, CT 06405-5906 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Stephen C Barresi Pa | 29-a Tylerwoods Rd, Haddam, CT 06438 | Physician Assistant | 2006-12-22 ~ 2007-12-31 |
| Stephen M Young | 19 Stony Brook Dr, Suffield, CT 06078-2372 | Physician Assistant | 2012-08-06 ~ 2013-03-31 |
| Stephen J Burgess Pa | 218 Russell Street, Hadley, MA 01035 | Physician Assistant | 1998-09-08 ~ 1999-09-30 |
| Stephen Sales | 13 Salem Road, Prospect, CT 06712 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Stephen A Smolewski | 25 Field Street, Stamford, CT 06906 | Physician Assistant | 2019-04-01 ~ 2020-03-31 |
Please comment or provide details below to improve the information on STEPHEN PAUL CALLAHAN.
| 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).