KIRSTEN H FROSTAD (Credential# 1788680) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
KIRSTEN H FROSTAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004679. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 31 Ravenwood Rd, North Stonington, CT 06359-1533. The current status is active.
| Licensee Name | KIRSTEN H FROSTAD |
| Credential ID | 1788680 |
| Credential Number | 23.004679 |
| Credential Type | Physician Assistant |
| Business Address |
31 Ravenwood Rd North Stonington CT 06359-1533 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2013382 | CSP.0073265 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-03-02 | 2020-03-02 - 2021-02-28 | ACTIVE |
| 848687 | 70.008954 | Emergency Medical Technician | 2007-10-15 | 2009-07-31 - 2014-06-30 | INACTIVE |
| Street Address | 31 RAVENWOOD RD |
| City | NORTH STONINGTON |
| State | CT |
| Zip Code | 06359-1533 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chris Avery · Driftwood Co | 29 Ravenwood Rd, North Stonington, CT 06359-1533 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Jourdan S Lloyd-o'grady | 37 Raven Wood Rd, North Stonington, CT 06359-1533 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Lauren Swepson | 29 Ravenwood Rd, North Stonington, CT 06359-1533 | Hairdresser/cosmetician | 2014-08-01 ~ 2016-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Taylor | 404 Pendleton Hill Rd, North Stonington, CT 06359 | Esthetician | 2020-06-27 ~ 2022-03-31 |
| Alaina L Kindelan | 70e Reutemann Rd, North Stonington, CT 06359 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Tenzin Dechen | 105 A Lakeside Drive, North Stonington, CT 06359 | Casino Class I Employee | 2019-12-03 ~ 2020-03-02 |
| Chad J Eaton · Bellissimo Grande | 411a 411b Norwich Westerly Road, North Stonington, CT 06359 | Hotel Liquor (10000 Or Less Population) | 2019-12-20 ~ 2021-04-19 |
| Carolyn A Howell | 495 Providence Newlondon Turnpike, North Stonington, CT 06359 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Nancy L Peterson | 30 Pond Drive, North Stonington, CT 06359 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Pamela C Greenleaf | 28 Pond Dr, North Stonington, CT 06359 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lorna Mckusick Pulver | 62n Patricia Avenue, North Stonington, CT 06359 | Esthetician | 2020-06-13 ~ 2022-04-30 |
| Jennifer A Emert · Chappell | 85 Rocky Hollow Rd, North Stonington, CT 06359 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Ariel J Pelletier | 389j Wyassup Road, North Stonington, CT 06359 | Notary Public Appointment | 2020-06-11 ~ 2025-06-30 |
| Find all Licenses in zip 06359 | |||
| City | NORTH STONINGTON |
| Zip Code | 06359 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORTH STONINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kirsten D Grillo | 49 Palmer Ave, Winsted, CT 06098-1833 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kirsten M Olsen | 169 Center Street, Manchester, CT 06040 | Occupational Therapist Assistant | 1999-08-17 ~ 2001-07-31 |
| Kirsten J Perillo | 5 Avon Court, Beacon Falls, CT 06403 | Physical Therapist Assistant | 2019-09-01 ~ 2020-08-31 |
| Ragnhild Frostad | 330 Wyassup Rd, North Stonington, CT 06359 | Hairdresser/cosmetician | 2018-11-01 ~ 2020-10-31 |
| Erin Kristine Frostad | 91 Sharon Road, Mystic, CT 06355 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Kirsten M Baker | 299 Washington Ave., Hamden, CT 06518 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kirsten Lawrence | 112 Sycamore Ln, Irvington, NY 10533-1932 | Physician/surgeon | 2020-01-09 ~ 2021-01-31 |
| Kirsten G Engel | 12 Stanton Ct, Madison, CT 06443 | Physician/surgeon | 2007-03-28 ~ 2008-04-30 |
| Kirsten A Menn | 243 Webster St, Palo Alto, CA 94301 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kirsten B Hohmann | 159 West Hill Rd, Stamford, CT 06902 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on KIRSTEN H FROSTAD.
| 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).