NADINE F SCOTT PA
Physician Assistant


Address: 59 Sunnybrook Dr, Avon, CT 06001-2529

NADINE F SCOTT PA (Credential# 741790) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2013. The license expiration date date is December 31, 2013. The license status is INACTIVE.

Business Overview

NADINE F SCOTT PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000041. The credential type is physician assistant. The effective date is January 1, 2013. The expiration date is December 31, 2013. The business address is 59 Sunnybrook Dr, Avon, CT 06001-2529. The current status is inactive.

Basic Information

Licensee Name NADINE F SCOTT PA
Credential ID 741790
Credential Number 23.000041
Credential Type Physician Assistant
Business Address 59 Sunnybrook Dr
Avon
CT 06001-2529
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-06-25
Effective Date 2013-01-01
Expiration Date 2013-12-31
Refresh Date 2014-04-09

Other licenses

ID Credential Code Credential Type Issue Term Status
206539 CSP.0027856 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-03-01 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 59 SUNNYBROOK DR
City AVON
State CT
Zip Code 06001-2529

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City AVON
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License Type Physician Assistant
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Dataset Information

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).

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