DANIEL MALLORY STEPHENS (Credential# 1422420) 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.
DANIEL MALLORY STEPHENS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004301. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is Po Box 896, Brewster, NY 10509-0896. The current status is active.
| Licensee Name | DANIEL MALLORY STEPHENS |
| Credential ID | 1422420 |
| Credential Number | 23.004301 |
| Credential Type | Physician Assistant |
| Business Address |
Po Box 896 Brewster NY 10509-0896 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-18 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1612347 | CSP.0069813 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-11-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | PO BOX 896 |
| City | BREWSTER |
| State | NY |
| Zip Code | 10509-0896 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy Darleny Vasquez Ramirez | 2567 Carmel Ave, Brewster, NY 10509 | Nail Technician | ~ |
| Scott Reed Dakin | 3 Salmons Hollow Road, Brewster, NY 10509 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nicola Shelbourne | 153 Farm To Market Road, Brewster, NY 10509 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Taylor Jendras | 391 Gage Road, Brewster, NY 10509 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Caroline Margaret Bedard | 601 Seven Field Lane, Brewster, NY 10509 | Esthetician | ~ |
| Lorraine Salavec | 22 Windswept Circle, Brewster, NY 10509 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katelyn M Healy | 2 Wilson Road, Brewster, NY 10509 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mary Ann Stabe | 105 Bentley Ct, Brewster, NY 10509 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Paul Wasserman | 88 Lakeview Drive, Brewster, NY 10509 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Rosemarie C Butti | 21 Peach Brook Lane, Brewster, NY 10509 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 10509 | |||
| City | BREWSTER |
| Zip Code | 10509 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BREWSTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel Joshua Stephens | 20 Swarthmore Rd, Scarsdale, NY 10583 | Physician/surgeon | ~ |
| Mallory C. Poynter | 40 Prospect Street Building 1 Apt 1-h, Norwalk, CT 06856 | Physician Assistant | 2014-05-01 ~ 2015-04-30 |
| Daniel Caputo | 39 Norwood Rd, Yonkers, NY 10710-1415 | Physician Assistant | ~ |
| Daniel Jew Pa | 7 Newcomb Pl, White Plains, NY 10606-2003 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Daniel O'grady | 20 Heron Dr, Somers, CT 06071 | Physician Assistant | 2017-10-03 ~ 2018-07-31 |
| Daniel G Mussen | 47 Skyview Dr, Colchester, CT 06415-2440 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Daniel J Parchen | 124 Richardsville Rd, Carmel, NY 10512-3965 | Physician Assistant | 2013-08-01 ~ 2014-07-31 |
| Daniel G Hedrick | 26 College Rd, Burlington, MA 01803-2711 | Physician Assistant | 2016-04-01 ~ 2017-03-31 |
| Daniel T Mcnamara | 67 Guile Rd, Guilford, CT 06437-1547 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Daniel J Binelli | 900 Chapel St, New Haven, CT 06510 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on DANIEL MALLORY STEPHENS.
| 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).