KATHY PAE MD (Credential# 551185) is licensed (Physician/surgeon) 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.
KATHY PAE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033586. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 97 Barnes Rd, Wallingford, CT 06492. The current status is active.
| Licensee Name | KATHY PAE MD |
| Credential ID | 551185 |
| Credential Number | 1.033586 |
| Credential Type | Physician/Surgeon |
| Business Address |
97 Barnes Rd Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-03-11 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163132 | CSP.0021980 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 97 BARNES RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Tighe | 97 Barnes Rd, Wallingford, CT 06492-1885 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Ellen Wolfson Md | 97 Barnes Rd, Wallingford, CT 06492 | Physician/surgeon | 2007-06-08 ~ 2008-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathy J Kalkbrenner | 39 Ellsworth Ln, Canton, CT 06019-2642 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kathy A Keller | 719 Alvarado Row, Stanford, CA 94305-1037 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Kathy Park Md | 200 Rimmon Road, Woodbridge, CT 06525 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kathy Ngo | 4581 35th Ave N, Saint Petersburg, FL 33713-1111 | Physician Assistant | ~ |
| Kathy O'brien Pa-c | 106 Foxboro Dr, Norwalk, CT 06851-1147 | Physician Assistant | 2019-03-01 ~ 2020-02-29 |
| Kathy J Salu | 501 Winston Dr Apt A, Bakersfield, CA 93309-1540 | Physician Assistant | 2003-01-23 ~ 2004-02-29 |
| Kathy E Delucia · Evers | 98 Hoyt Lane, Guilford, CT 06437 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Primitives By Kathy | 1817 William Penn Way, Lancaster, PA 17601-5830 | Importer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Kathy's Washing Well · Barry Held | 1345 Barnum Ave, Stratford, CT 06497 | Operator of Weighing & Measuring Devices | 1998-03-17 ~ 1998-07-31 |
| Charles P Doolittle · Kathy's Packy | 297 Main Street Route 163, Montville, CT 06353 | Package Store Liquor | 1999-04-16 ~ 2000-04-15 |
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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).