LAURA DEANNE KRAGT (Credential# 1457541) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
LAURA DEANNE KRAGT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004022. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 75 Tresser Blvd Unit 412, Stamford, CT 06901-3358. The current status is active.
| Licensee Name | LAURA DEANNE KRAGT |
| Credential ID | 1457541 |
| Credential Number | 23.004022 |
| Credential Type | Physician Assistant |
| Business Address |
75 Tresser Blvd Unit 412 Stamford CT 06901-3358 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-01-19 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1990312 | CSP.0072884 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-12-09 | 2019-12-09 - 2021-02-28 | ACTIVE |
| Street Address | 75 TRESSER BLVD UNIT 412 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06901-3358 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jisun Lee | 140 Grove St #3a, Stamford, CT 06901 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Sbarro # 968 | 100 Greyrock Place, Stamford, CT 06901 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sausan A Hilmi Md | Ehe International, Stamford, CT 06901 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Andrew Sosa | 66 Summer Street Apt 1508, Stamford, CT 06901 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Melissa Kay Rosenberg | 180 Broad Street, Stamford, CT 06901 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Niki Maroulakos | 1 Broad Street, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Ana D Granda | 355 Atlantic St Unit 20d, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-11 ~ 2021-05-31 |
| Zachary Daly Walzer | 800 Summer St, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
| Kathy E Dunigan | 2 Canterbury Green #2508, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
| Iwona Grzebyk | 99 Prospect Str Apt 5e, Stamford, CT 06901 | Esthetician | 2020-06-13 ~ 2022-03-31 |
| Find all Licenses in zip 06901 | |||
| City | STAMFORD |
| Zip Code | 06901 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deanne M Anderson | 154 Croyden Terrace, Springfield, MA 01104 | Physician Assistant | 1999-08-03 ~ 1999-10-31 |
| Laura D Wilk Pa | 539 Smithtown Ave, Bohemia, NY 11716 | Physician Assistant | 2007-10-03 ~ 2008-10-31 |
| Laura K Lok Pa | 6 Wood Creek Rd, Burlington, CT 06013 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Laura Jeanblanc | 21 Chatfield Dr, Lakeville, CT 06039 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Laura M Smith | 20 York St, New Haven, CT 06510-3220 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Laura M Kielb Pa-c | 26 Bartlett Ct, Wilbraham, MA 01095-1705 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Laura C Kozol | 97 Avonridge, Avon, CT 06001 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Laura F Reddington | 22 White Oaks Ln, Madison, CT 06443-1821 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kaitlin G Kuzniewski | 22 Laura Drive, Danbury, CT 06811 | Physician Assistant | 2005-04-04 ~ 2005-12-31 |
| Jessica Laura Nursick | 26 Sand Hill Rd, Portland, CT 06480-1737 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on LAURA DEANNE KRAGT.
| 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).