CARLY CATHERINE KRISAVAGE (Credential# 1523832) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
CARLY CATHERINE KRISAVAGE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004141. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 27 Village Crossing, Niantic, CT 06357. The current status is active.
| Licensee Name | CARLY CATHERINE KRISAVAGE |
| Credential ID | 1523832 |
| Credential Number | 23.004141 |
| Credential Type | Physician Assistant |
| Business Address |
27 Village Crossing Niantic CT 06357 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-28 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1527953 | CSP.0068898 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-07-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 27 Village Crossing |
| City | Niantic |
| State | CT |
| Zip Code | 06357 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Young Sun Kim | 265 Roxbury Rd, Niantic, CT 06357 | Nail Technician | ~ |
| Melissa B Bender | 9 Hoskins St, Niantic, CT 06357 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Rachel Brennan | 8 Louise Drive, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tianhua Wang | 11 King Arthur Dr Unit 2h, Niantic, CT 06357 | Nail Technician | 2020-06-26 ~ 2022-02-28 |
| Maxwell V Nucci | 70 Smith St, Niantic, CT 06357 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Virada Lackey | 22 Sunnie Side Drive, Niantic, CT 06357 | Real Estate Salesperson | ~ |
| Niantic Cinema Corp | 279 Main St, Niantic, CT 06357 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Olivia M Blodgett | 30 Lake Ave, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine S Kleczkowski | P.o. Box 281, Niantic, CT 06357 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Robert W Cunningham | 9 South Rd., Niantic, CT 06357 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06357 | |||
| City | Niantic |
| Zip Code | 06357 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Niantic |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carly Melissa Muniz | 575 Beech Street, Holyoke, MA 01040 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
| Carly Beth Roy | 263 Farmington Ave, Farmington, CT 06030-0001 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Rachel Christina Ricci | 15 Catherine Dr, Rocky Hill, CT 06067-4249 | Physician Assistant | ~ |
| Catherine Marie De Stio | 535 E 70th St, New York, NY 10021-4823 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Catherine Sattler | 92 Camp Bethel Rd, Haddam, CT 06438-1346 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Catherine E Williams | 328 Maple Park Drive, Clarksville, TN 37040 | Physician Assistant | 2014-11-12 ~ 2015-04-30 |
| Sarah Catherine Spelsberg | 4447 Barnaby Dr, Jacksonville, FL 32217 | Physician Assistant | 2017-10-27 ~ 2018-09-30 |
| Carly N O'connor | 30 Duane Ln, Burlington, CT 06013-1307 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
| Carly Lucier | 27 Kent Ct, Middletown, CT 06457-4524 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Carly Ann Bramer | 80b Halls Hill Road, Colchester, CT 06415 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on CARLY CATHERINE KRISAVAGE.
| 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).