MATTHEW WALTER RYAN (Credential# 1669656) 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.
MATTHEW WALTER RYAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004562. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 243 Steele Rd Apartment 737a, West Hartford, CT 06117. The current status is active.
| Licensee Name | MATTHEW WALTER RYAN |
| Credential ID | 1669656 |
| Credential Number | 23.004562 |
| Credential Type | Physician Assistant |
| Business Address |
243 Steele Rd Apartment 737a West Hartford CT 06117 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-08 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1682369 | CSP.0072206 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-08-09 | 2019-08-09 - 2021-02-28 | ACTIVE |
| Street Address | 243 Steele Rd apartment 737A |
| City | West Hartford |
| State | CT |
| Zip Code | 06117 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | West Hartford |
| Zip Code | 06117 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + West Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew Ryan Leclerc | 396 Long Hill Street, East Hartford, CT 06108 | Certified Public Accountant Firm Permit | 1992-02-04 ~ 1992-12-31 |
| Matthew Ryan Woodworking LLC | 5778 Main St, Trumbull, CT 06611 | Home Improvement Contractor | 2008-12-02 ~ 2009-11-30 |
| Ryan Matthew Harris | 1222 Nicholas Mnr, San Antonio, TX 78258-7480 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Emily Ryan | 15 Sandra Dr, Branford, CT 06405-6137 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| James J Ryan | P.o. Box 525, Pine Plains, NY 12567 | Physician Assistant | 2003-03-03 ~ 2004-02-29 |
| Lucas Ryan Pa | 37 Red Mills Rd, Mahopac, NY 10541 | Physician Assistant | 2004-08-23 ~ 2005-10-31 |
| Ryan F Makuck Pa-c | 37 Pinnacle Rd, Ellington, CT 06029-3513 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Ryan A Vicino | 480 Maple Hill Ave, Newington, CT 06111-3618 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Ryan Riordan | 23 S Jefferson St, Batavia, IL 60510-2419 | Resident Physician Assistant | 2020-05-26 ~ 2021-12-31 |
| Amy Haydon-ryan | 138 S Pine Creek Rd, Fairfield, CT 06824-5630 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
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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).