KEVIN STETTER (Credential# 1357383) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
KEVIN STETTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003590. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 110 Beachview Ave Unit 218, Bridgeport, CT 06605-3263. The current status is active.
| Licensee Name | KEVIN STETTER |
| Credential ID | 1357383 |
| Credential Number | 23.003590 |
| Credential Type | Physician Assistant |
| Business Address |
110 Beachview Ave Unit 218 Bridgeport CT 06605-3263 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-06 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1362010 | CSP.0063236 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 110 BEACHVIEW AVE UNIT 218 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-3263 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roseanne B Ganim | 110 Beachview Ave Unit 222, Bridgeport, CT 06605-3263 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Medina | 102 Clinton Ave., Bridgeport, CT 06605 | Medication Administration Certification | ~ |
| Maria Etelvina Lema | 20 Orland St, Bridgeport, CT 06605 | Nail Technician | ~ |
| Michelle Maldonado M�ndez | 182 Monroe St, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Latavia Henderson | 178 Lewis Street, Bridgeport, CT 06605 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
| Onedu Nnenna Benson | 285 Laurel Avenue, Bridgeport, CT 06605 | Licensed Practical Nurse | ~ |
| Gregory A Korth | 137 Fayerweather Ter, Bridgeport, CT 06605 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kim Anh Ho | 108 Wood Avenue, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria-elena Melchor Mora | 653 Colorado Ave, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jennifer Nelson | 148 St Stephens Road, Bridgeport, CT 06605 | Esthetician | ~ |
| Santa Fuel Inc | 133 Admiral St, Bridgeport, CT 06605 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06605 | |||
| City | BRIDGEPORT |
| Zip Code | 06605 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin M Chandon Pa-c | 79 Judson Ave, Woodbury, CT 06798-2713 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Kevin L Pedneault | 15 Fairmont St, Wethersfield, CT 06109-2212 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kevin R Lager | 308 Eagles Ridge Rd, Brewster, NY 10509-1132 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Kevin M. Kattau | 20 Hooper Ct, East Northport, NY 11731-4914 | Physician Assistant | 2011-09-22 ~ 2012-01-31 |
| Kevin E Wood | 43 Terese Rd, Beacon Falls, CT 06403-1240 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kevin R Mcdonald | 100 Oakview Drive, Trumbull, CT 06611 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kevin Eric Hwang | 17 Lyon Ave, Greenwich, CT 06830-6206 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kevin C Calyer Pa | 460 Hartford Tpke, Vernon, CT 06066 | Physician Assistant | 2006-02-16 ~ 2007-04-30 |
| Kevin F Ryan | 12 Walker Road, Ware, MA 01082 | Physician Assistant | 1997-08-22 ~ 1998-09-30 |
| Kevin Patrick Rooney | 4 Penn Place, Rocky Hill, CT 06067 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on KEVIN STETTER.
| 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).