KAITLYN JANE BANKS (Credential# 1681088) 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.
KAITLYN JANE BANKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004618. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1707 S Van Buren St, Amarillo, TX 79102-3057. The current status is active.
Licensee Name | KAITLYN JANE BANKS |
Credential ID | 1681088 |
Credential Number | 23.004618 |
Credential Type | Physician Assistant |
Business Address |
1707 S Van Buren St Amarillo TX 79102-3057 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-09-27 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1991498 | CSP.0072906 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-12-13 | 2019-12-13 - 2021-02-28 | ACTIVE |
Street Address | 1707 S VAN BUREN ST |
City | AMARILLO |
State | TX |
Zip Code | 79102-3057 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan N Jackson | 1216 So Alabama, Amarillo, TX 79102-1128 | Registered Nurse | 1997-06-09 ~ 1998-07-31 |
Haley N Brown | 1026 Bowie St, Amarillo, TX 79102-1513 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Roxane Keith · Keith | 5807 Spencer Street, Amarillo, TX 79109 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Assad Ismaeel Adam Mohammedzein | 5415 Southside Dr, Amarillo, TX 79109-7192 | Physician/surgeon | ~ |
Arden Companies (paradise Manufacturing) | 10901 Airport Blvd, Amarillo, TX 79111-1236 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
Castor & Pollux Natural Pet Works | 101 Se 11th Ave Ste 200, Amarillo, TX 79101-3417 | Commercial Feed | 2020-01-01 ~ 2020-12-31 |
Ashly Marie Green | 1003 Ketler St, Amarillo, TX 79104-3317 | Registered Nurse | ~ |
Mary Haddad | P.o. Box 52518, Amarillo, TX 79159 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
Dhjoanna R. Reyes | 6100 Sw 45th Ave Apt 1611, Amarillo, TX 79109-5187 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
Saharr Basem Dia | 2400 Anna St., Amarillo, TX 79106 | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
Rachel Owen | 3311 Janet Dr, Amarillo, TX 79109 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Jack H Smith | 5601 West Inerstate 40, Amarillo, TX 79106 | Professional Engineer | 2018-02-01 ~ 2019-01-31 |
Find all Licenses in AMARILLO |
City | AMARILLO |
Zip Code | 79102 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + AMARILLO |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kaitlyn E Booth Pa-c | 225 E 95th St Apt 31f, New York, NY 10128-4010 | Physician Assistant | 2016-04-01 ~ 2017-03-31 |
Kaitlyn E O'brien | 67 Magnolia Ave, Norwalk, CT 06850-3634 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Kaitlyn Mary Roseman | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician Assistant | 2020-04-03 ~ 2020-11-30 |
Kaitlyn Rahtelli | 105 Scodon Dr, Ridgefield, CT 06877-1319 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Kaitlyn Marie Strycker | 80 Los Angeles Ave, Stratford, CT 06614 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Kaitlyn Zugibe | 6 Cristin Ct., Stony Point, NY 10980 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
Jenna Kaitlyn Cordeiro | 32 Hog Hill Rd, East Hampton, CT 06424-1821 | Physician Assistant | ~ |
Kaitlyn Depathy | 751 Long Hill Rd Apt E, Middletown, CT 06457-5068 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Jane J Flaska | 250 Willow St #3, New Haven, CT 06511 | Physician Assistant | 2004-03-17 ~ 2005-04-30 |
Jane Arenas Pa | 675 Townsend Avenue #125, New Haven, CT 06512 | Physician Assistant | 1999-05-13 ~ 2000-03-31 |
Please comment or provide details below to improve the information on KAITLYN JANE BANKS.
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).