KRISTIN ALINE O'CONNOR (Credential# 1398345) 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.
KRISTIN ALINE O'CONNOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003768. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 11 Highland St, Wethersfield, CT 06109-4070. The current status is active.
Licensee Name | KRISTIN ALINE O'CONNOR |
Credential ID | 1398345 |
Credential Number | 23.003768 |
Credential Type | Physician Assistant |
Business Address |
11 Highland St Wethersfield CT 06109-4070 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-01-31 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1398360 | CSP.0064607 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-02-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 11 HIGHLAND ST |
City | WETHERSFIELD |
State | CT |
Zip Code | 06109-4070 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06109 |
City | WETHERSFIELD |
Zip Code | 06109 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WETHERSFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kristin L Schmitt Pa-c | 91 Fox Run Rd, Bolton, MA 01740 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Kathryn Connor | 118 Windwood Way, Mystic, CT 06355-2158 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Katherine S O'connor | 131 Redlands St, Springfield, MA 01104-2911 | Physician Assistant | 2012-11-21 ~ 2013-11-30 |
Sherri L O'connor | 9 Washington Ave, Hamden, CT 06518-3267 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Kristin Hall | 39 Crystal St, New Canaan, CT 06840 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Jacqueline A Connor | 2150 Main St, Springfield, MA 01104-3566 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Kristin J Marcous Pa | Connecticut Gi, PC, Rocky Hill, CT 06067 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Kristin J Naramore | 9 Westmoreland Dr, West Hartford, CT 06117-2657 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Kristin M Thomson | 4600 Connecticut Ave. Nw, Washington, DC 20008 | Physician Assistant | 2004-06-28 ~ 2005-06-30 |
Kristin Hayes | 1180 Salt Road, Webster, NY 14580 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on KRISTIN ALINE O'CONNOR.
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).