ROBERT PAUL BLAISDELL (Credential# 1441949) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2018. The license expiration date date is October 31, 2019. The license status is INACTIVE.
ROBERT PAUL BLAISDELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003975. The credential type is physician assistant. The effective date is November 1, 2018. The expiration date is October 31, 2019. The business address is 28 Joseph Lane, Colchester, CT 06415. The current status is inactive.
| Licensee Name | ROBERT PAUL BLAISDELL |
| Credential ID | 1441949 |
| Credential Number | 23.003975 |
| Credential Type | Physician Assistant |
| Business Address |
28 Joseph Lane Colchester CT 06415 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-10-02 |
| Effective Date | 2018-11-01 |
| Expiration Date | 2019-10-31 |
| Refresh Date | 2020-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1449598 | CSP.0066752 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-10-02 | 2017-10-02 - 2019-02-28 | LAPSED |
| 1159454 | 70.016190 | Emergency Medical Technician | 2013-04-29 | 2013-04-29 - 2015-06-30 | INACTIVE |
| Street Address | 28 Joseph Lane |
| City | Colchester |
| State | CT |
| Zip Code | 06415 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Shattuck | 66 South Road, Colchester, CT 06415 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Linda Smith · Lamb | 25 Loomis Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Vincent Vespa Jr | 671 Norwich Ave, Colchester, CT 06415 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Deborah L Strong · Bowen | 98 Lebanon Avenue, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Lucy A Boisse | 115 Stanavage Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Alicia R Bohnenkamper | 906 Canterbury Lane, Colchester, CT 06415 | Notary Public Appointment | 2011-09-28 ~ 2016-09-30 |
| Anna M Sofia | 75 B Elmwood Heights, Colcheshter, CT 06415 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J J Noels Supermarket | 15 Broadway, Colchester, CT 06415 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Linda S Kvasnik | 69 Colburn Dr, Colchester, CT 06415 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| James W Bansemer · General Builders & Remodelers | 87 O'connell Road, Colchester, CT 06415 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Find all Licenses in zip 06415 | |||
| City | Colchester |
| Zip Code | 06415 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Colchester |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert M Blaisdell · Jean C Blaisdell | 714 Main St North, Southbury, CT 06488 | Real Estate Salesperson | 1997-06-01 ~ 1998-05-31 |
| Todd G Blaisdell · Blaisdell Home & Garden | 47 Rogers Lane, Enfield, CT 06082 | Home Improvement Contractor | 1996-04-12 ~ 1996-11-30 |
| Robert J Blaisdell | 609 Foster Street, Wapping, CT 06074 | Notary Public Appointment | 1969-08-21 ~ 1974-03-31 |
| Margaret E Blaisdell | 1220 N Rockridge Rd, Flagstaff, AZ 86001-1131 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Paul R Parkosewich | Po Box 409, Boonville, NY 13309 | Physician Assistant | 2012-08-01 ~ 2013-07-31 |
| Paul A Trapasso | 91 Vernon Dr., Scarsdale, NY 10583 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Paul Rolston Pa | 545 Orange St Apt #3, New Haven, CT 06511 | Physician Assistant | 2005-05-12 ~ 2006-03-31 |
| Paul Nicolosi | 12 Grandview Ave, Old Lyme, CT 06371-1339 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Paul M Vallera Pa-c | 40 Hillside Dr, Wrentham, MA 02093-1894 | Physician Assistant | 2014-05-01 ~ 2015-04-30 |
| Allison L Baysol | 3 Paul St # 1, Brunswick, ME 04011-2807 | Physician Assistant | 2015-12-02 ~ 2016-12-31 |
Please comment or provide details below to improve the information on ROBERT PAUL BLAISDELL.
| 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).