MEREDITH LYNN BOURDEAU (Credential# 1504896) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MEREDITH LYNN BOURDEAU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004118. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 305 Columbus Ave, West Harrison, NY 10604. The current status is active.
Licensee Name | MEREDITH LYNN BOURDEAU |
Credential ID | 1504896 |
Credential Number | 23.004118 |
Credential Type | Physician Assistant |
Business Address |
305 Columbus Ave West Harrison NY 10604 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-06-21 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-04-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1512192 | CSP.0067972 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-06-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 305 COLUMBUS AVE |
City | WEST HARRISON |
State | NY |
Zip Code | 10604 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stefania Maria Perez | 121 Macri Ave, West Harrison, NY 10604 | Registered Nurse | ~ |
Danielle Piacente | 56 Underhill Avenue, West Harrison, NY 10604 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kimberly Papachristou | 1 Golden Pond Road, West Harrison, NY 10604 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Naixi Li | 83 Park Lane, West Harrison, NY 10604 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Lee C Toterhi | 160 Gainsborg Ave E, West Harrison, NY 10604 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Emanuel I Wurm Do | Westchester Medical Group PC, White Plains, NY 10604 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Edward G Swaby | 25 Chadwick Rd, White Plains, NY 10604 | Architect | 2018-08-01 ~ 2019-07-31 |
Christina C Blanco | 210 Westchester Avenue, White Plains, NY 10604 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Caleb K Charny Md | 210 Westchester Ave, White Plains, NY 10604 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Paul C Moloney Jr · Paul C Moloney Inc | 12 High Ridge Road, West Harrison, NY 10604 | Swimming Pool Builder - In Ground | 2020-05-01 ~ 2021-04-30 |
Find all Licenses in zip 10604 |
City | WEST HARRISON |
Zip Code | 10604 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WEST HARRISON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Steven K Bourdeau · Bourdeau's Renovations | 30 Knollwood Drive, Wallingford, CT 06492 | Home Improvement Contractor | 1995-03-30 ~ 1995-11-30 |
Mark S Bourdeau · Marks Bourdeau Remodeling | 37 Town Hill Rd, Terryville, CT 06786 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
Meredith B Brown Pa | 14 San Souci Dr, South Hadley, MA 01075-1380 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
Meredith J Braga | 238 Toll Gate Road, South Glastonbury, CT 06073 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Meredith L Cronin | 180 S Middle Neck Road, #2s, Great Neck, NY 11021 | Physician Assistant | 2017-09-01 ~ 2018-08-31 |
Richard M Bourdeau | 84 Broad Street, Milford, CT 06460 | Certified Public Accountant Firm Permit | 1985-01-16 ~ 1985-12-31 |
Bourdeau & Zielinski | 84 Broad Street, Milford, CT 06460 | Certified Public Accountant Firm Permit | 1984-01-01 ~ 1984-12-31 |
Bourdeau Enterprises LLC | 21 West Thames Street, Norwich, CT 06360 | Home Improvement Contractor | 2007-01-26 ~ 2007-11-30 |
Michael L Bourdeau · Michael Bourdeau Bldg & Rdlng | 78 Tomlinson Rd, Seymour, CT 06483-2225 | Home Improvement Contractor | ~ 1995-07-01 |
Bourdeau Builders LLC | 78 Tomlinson Rd, Seymour, CT 06483 | Home Improvement Contractor | 2020-04-15 ~ 2020-11-30 |
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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).