SARAH J DOLAN (Credential# 1427076) 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.
SARAH J DOLAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003879. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 114 Woodland St, Hartford, CT 06105-1208. The current status is active.
Licensee Name | SARAH J DOLAN |
Credential ID | 1427076 |
Credential Number | 23.003879 |
Credential Type | Physician Assistant |
Business Address |
114 Woodland St Hartford CT 06105-1208 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-07-06 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1436863 | CSP.0066247 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-07-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 114 WOODLAND ST |
City | HARTFORD |
State | CT |
Zip Code | 06105-1208 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Julie M Peck | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
Kaitlin M Renkosiak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
Frank I Jackson | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
Diana Andres | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
Kristina C Bystrak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Podiatrist | 2019-06-24 ~ 2022-06-23 |
Helen Stolyar | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
Alexander Almeida Larrea | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
Kenneth Bryan Keplinger | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
Roxanne F Zarmsky | 114 Woodland St, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Geetha P Bhumireddy Md | 114 Woodland St, Hartford, CT 06105-4318 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lisa M Pintoff | 114 Woodland St Ofc Casemgt, Hartford, CT 06105-1208 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
Heather M Weber | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
Saadia Zafar Md | 114 Woodland St Flr 3, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Yanbin Wang | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2020-06-29 ~ 2021-06-28 |
Julie M Peck | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2019-07-01 |
A Proof of Concept, Open Label Prospective Pilot Study of Cannabis Use In Trauma Patients With Multi | Saint Francis Hospital and Medical Center, Hartford, CT 06105-1208 | Medical Marijuana Research Program | 2016-12-15 ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
Find all Licenses in zip 06105 |
City | HARTFORD |
Zip Code | 06105 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Matthew C Dolan | 357 Three Mile Road, Glastonbury, CT 06033 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Sarah Spring | 277 Academy Dr, Vestal, NY 13850-2447 | Physician Assistant | ~ |
Sarah Moore | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician Assistant | 2017-05-01 ~ 2018-04-30 |
Sarah F Pryor | 57 Old Rock Ln, Norwalk, CT 06850-2233 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Sarah R. Bailey | 745 Orange St Apt 203, New Haven, CT 06511-2549 | Physician Assistant | 2010-01-20 ~ 2010-03-31 |
Danielle Sarah Desmarais | 25 Old Towne Rd, Cheshire, CT 06410-3122 | Physician Assistant | ~ |
Sarah Elizabeth Hill | 211 Park Rd, Oxford, CT 06478-6127 | Physician Assistant | ~ |
Sarah B Sullivan Pa-c | 113 Old Stratfield Rd, Fairfield, CT 06825 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Sarah E Beaudoin | 36 Ladyslipper Ln, Norwich, CT 06360-2659 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Sarah Ann Newburg | N67 W36773 Hwy K, Oconomowoc, WI 53066 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).