LAUREN YVONNE MARVIN (Credential# 1501979) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
LAUREN YVONNE MARVIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004092. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 101 Washington Boulevard, Stamford, CT 06902. The current status is active.
| Licensee Name | LAUREN YVONNE MARVIN |
| Credential ID | 1501979 |
| Credential Number | 23.004092 |
| Credential Type | Physician Assistant |
| Business Address |
101 Washington Boulevard Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-08 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1512304 | CSP.0067980 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 101 Washington Boulevard |
| City | Stamford |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cherly Rene | 101 Washington Boulevard, Stamford, CT 06902 | Notary Public Appointment | 2016-10-01 ~ 2021-09-30 |
| Thomas M Flynn | 101 Washington Boulevard, Stamford, CT 06902 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| George W Bodenheimer Jr | 101 Washington Boulevard, Stamford, CT 06902 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Carina A Koerfer | 101 Washington Boulevard, Stamford, CT 06902 | Notary Public Appointment | 2014-12-16 ~ 2019-12-31 |
| Calvis Archie Tompkins | 101 Washington Boulevard, Stamford, CT 06902 | Notary Public Appointment | 2013-04-11 ~ 2018-04-30 |
| Marissa L Frantisak | 101 Washington Boulevard, Stamford, CT 06902 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | Stamford |
| Zip Code | 06902 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yvonne L Whitt | 8745 East Wesley Drive, Denver, CO 80231 | Physician Assistant | 2008-09-02 ~ 2009-09-30 |
| Lauren V. Boggs | 45 Ley St, New Haven, CT 06512-3921 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Lauren C Frank | 103 Evergreen Ter, Colchester, CT 06415-1515 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Lauren A Palmer Pa | 52 Goshen Rd Apt A, Waterford, CT 06385-3745 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lauren C Schmidtberg | 282 Washington St, Hartford, CT 06106-3322 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Lauren Sloss | 12 Douglas Dr, Cumberland, RI 02864-1519 | Physician Assistant | 2018-07-02 ~ 2019-06-30 |
| Lauren E Meade | 1620 W Cullom Ave Apt 3, Chicago, IL 60613-1216 | Physician Assistant | ~ |
| Lauren Kess | 105 Winterberry Way, Torrington, CT 06790-2595 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lauren M Cohen | 282 Washington St, Hartford, CT 06106 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lauren K Wintman | 20 York St, New Haven, CT 06510-3220 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on LAUREN YVONNE MARVIN.
| 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).