JULIE VAN SAUN
Physician Assistant


Address: 1963 Commonwealth Ave Apt 2, Boston, MA 02135-5937

JULIE VAN SAUN (Credential# 1669906) 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.

Business Overview

JULIE VAN SAUN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004540. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 1963 Commonwealth Ave Apt 2, Boston, MA 02135-5937. The current status is active.

Basic Information

Licensee Name JULIE VAN SAUN
Credential ID 1669906
Credential Number 23.004540
Credential Type Physician Assistant
Business Address 1963 Commonwealth Ave Apt 2
Boston
MA 02135-5937
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-07-26
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-03-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1679694 CSP.0072090 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-07-29 2019-07-29 - 2021-02-28 ACTIVE

Office Location

Street Address 1963 COMMONWEALTH AVE APT 2
City BOSTON
State MA
Zip Code 02135-5937

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Competitor

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City BOSTON
Zip Code 02135
License Type Physician Assistant
License Type + County Physician Assistant + BOSTON

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Dataset Information

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).

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