LISA SIOBHAN GIRARDIN (Credential# 1684217) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LISA SIOBHAN GIRARDIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004693. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 79 Barrett Hill Rd, Mahopac, NY 10541-2502. The current status is active.
| Licensee Name | LISA SIOBHAN GIRARDIN |
| Credential ID | 1684217 |
| Credential Number | 23.004693 |
| Credential Type | Physician Assistant |
| Business Address |
79 Barrett Hill Rd Mahopac NY 10541-2502 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-12 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1684282 | CSP.0072280 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-11-12 | 2019-11-12 - 2021-02-28 | ACTIVE |
| Street Address | 79 BARRETT HILL RD |
| City | MAHOPAC |
| State | NY |
| Zip Code | 10541-2502 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen G Larkin | 25 Barrett Hill Rd, Mahopac, NY 10541-2502 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ernestine Daniel | 21 Mianna Drive, Mahopac, NY 10541 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Thomas A Nugent | 79 Austin Rd, Mahopac, NY 10541 | Architect | 2020-08-01 ~ 2021-07-31 |
| Vasiliki Gleason | 7 Senior Avenue, Mahopac, NY 10541 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joel Greenberg | 2 Muscoot Rd N, Mahopac, NY 10541 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stacy Shires | 7 Rambler Rd, Mahopac, NY 10541 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Henry Samoyedny | 54 Mcmillan Ave, Mahopac, NY 10541 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Joseph D Mastromonaco Jr | 10 Rockledge Place, Mahopac, NY 10541 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| James B Polo | 43 Dahlia Dr, Mahopac, NY 10541 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jill E Branch | 166 Croton Falls Rd, Mahopac, NY 10541 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Richard J Castro | 803 So Lake Blv D, Mahopac, NY 10541 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10541 | |||
| City | MAHOPAC |
| Zip Code | 10541 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MAHOPAC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dean T Girardin · Girardin Construction | 89 Migeon Ave, Torrington, CT 06790 | Home Improvement Contractor | 1997-04-22 ~ 1997-11-30 |
| David V Girardin · Girardin Builder | 37 Glenwood St, Manchester, CT 06040-6141 | Electrical Limited Journeyperson | 2008-10-01 ~ 2009-09-30 |
| Lisa K Girardin | 71 Grist Mill Rd, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Siobhan E Neary | 4675 Main St., Bridgeport, CT 06604 | Physical Therapist Assistant | ~ 2006-11-01 |
| Siobhan Morin | 75 Pearl Harbor Pl, Bridgeport, CT 06610-2331 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Lisa C Perry Pa | 109 Reverknolls, Avon, CT 06001-2038 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Lisa A. White | 4 Carlton Ln, Hopkinton, RI 02833-1103 | Physician Assistant | 2019-07-01 ~ 2020-06-30 |
| Ann Marie Schoppmann Pa | 11 Lisa Ln, Woodbridge, CT 06525 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Lisa E Shakun Pa-c | 5 Dunbar Drive, Windsor, CT 06095 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Lisa M Collison | 6 Sundon Lane, Old Saybrook, CT 06475 | Physician Assistant | 1999-07-16 ~ 2000-09-30 |
Please comment or provide details below to improve the information on LISA SIOBHAN GIRARDIN.
| 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).