DANIEL MALLORY STEPHENS
Physician Assistant


Address: Po Box 896, Brewster, NY 10509-0896

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address PO BOX 896
City BREWSTER
State NY
Zip Code 10509-0896

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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
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Competitor

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City BREWSTER
Zip Code 10509
License Type Physician Assistant
License Type + County Physician Assistant + BREWSTER

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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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