BURDEEN M CAMP PA (Credential# 741761) 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.
BURDEEN M CAMP PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000012. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 15 Sybil Creek Place, Branford, CT 06405. The current status is active.
| Licensee Name | BURDEEN M CAMP PA |
| Credential ID | 741761 |
| Credential Number | 23.000012 |
| Credential Type | Physician Assistant |
| Business Address |
15 Sybil Creek Place Branford CT 06405 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-06-25 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163312 | CSP.0021135 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 15 SYBIL CREEK PLACE |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen L Camp | 15 Sybil Creek Place, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allison L Valley Pa | 445 Camp St, Bristol, CT 06010 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Allison E Taylor | 206 Camp Street, Middletown, CT 06457 | Physician Assistant | 1993-12-01 ~ 1994-04-30 |
| Michael J Ciskowski Pa | 82 Camp Field Dr, Fairfield, CT 06825 | Physician Assistant | 2008-05-08 ~ 2009-05-31 |
| Catherine Sattler | 92 Camp Bethel Rd, Haddam, CT 06438-1346 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Randy L Panke | 2904 Seth Williams Blvd, Camp Lejeune, NC 28547-1401 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Camp Seal Day Camp | 75 Whalley Avenue, New Haven, CT | Youth Camp | 2006-10-02 ~ 2007-10-01 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Camp Strang Cub Scout Day Camp | Old Record. Street Address Not Recorded., Goshen, CT | Youth Camp | 2002-08-05 ~ 2003-08-04 |
| Camp Rocksalot LLC Dba Camp Jam | 185 N Main St, Suffield, CT 06078-2116 | Youth Camp | 2019-07-18 ~ 2020-07-31 |
| Camp Chase Ymca Day Camp | 15 Canton Rd, Burlington, CT 06013-1910 | Youth Camp | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on BURDEEN M CAMP PA.
| 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).