MEAGHAN KELLY ROBERTS
Physician Assistant


Address: 390 1st Avenue, New York, NY 10010

MEAGHAN KELLY ROBERTS (Credential# 1380560) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2017. The license expiration date date is August 31, 2018. The license status is INACTIVE.

Business Overview

MEAGHAN KELLY ROBERTS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003753. The credential type is physician assistant. The effective date is September 1, 2017. The expiration date is August 31, 2018. The business address is 390 1st Avenue, New York, NY 10010. The current status is inactive.

Basic Information

Licensee Name MEAGHAN KELLY ROBERTS
Credential ID 1380560
Credential Number 23.003753
Credential Type Physician Assistant
Business Address 390 1st Avenue
New York
NY 10010
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-12-21
Effective Date 2017-09-01
Expiration Date 2018-08-31
Refresh Date 2018-12-04

Office Location

Street Address 390 1st avenue
City New York
State NY
Zip Code 10010

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City New York
Zip Code 10010
License Type Physician Assistant
License Type + County Physician Assistant + New York

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Dataset Information

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).

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