LARRY A ANDERSON (Credential# 741808) 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.
LARRY A ANDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000059. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 28 Spinning Wheel, Monroe, CT 06468. The current status is active.
| Licensee Name | LARRY A ANDERSON |
| Credential ID | 741808 |
| Credential Number | 23.000059 |
| Credential Type | Physician Assistant |
| Business Address |
28 Spinning Wheel Monroe CT 06468 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-07-16 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163673 | CSP.0023053 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1399582 | CSP.0064654 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-01-24 | 2017-01-24 - 2019-02-28 | INACTIVE |
| Street Address | 28 SPINNING WHEEL |
| City | MONROE |
| State | CT |
| Zip Code | 06468 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liliya Maklyan | 31 Pastors Walk, Monroe, CT 06468 | Esthetician | ~ |
| Marion K Becker | 54 Greenwood Drive, Monroe, CT 06468 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Valerie Matte-zabin | 139 Bart Rd, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Hang T Dang | 150 Main St, Monroe, CT 06468 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Leanne M Grace | 79 Pastors Walk, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Alicia Marie Walker | 12 Edgewood Road, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Trina Duong | 202f Windgate Cir, Monroe, CT 06468 | Nail Technician | ~ |
| Julie M Boardman | 95 Richards Drive, Monroe, CT 06468 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marilia Curral Giacobbe | 260 Cutlers Farm Road, Monroe, CT 06468 | Notary Public Appointment | 2015-03-01 ~ 2020-02-28 |
| Jane E Allen · Eschweiler | 3 Timber Dr, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06468 | |||
| City | MONROE |
| Zip Code | 06468 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MONROE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Larry P Rustemeyer | 3025 Cascades Trail, Albuquerque, NM 81724 | Physician Assistant | 1995-12-08 ~ 1997-02-28 |
| Larry R Alfrey Pa | 190 Schofield Street, City Island, NY 10464 | Physician Assistant | 2003-01-17 ~ 2004-03-31 |
| Stacie B Campbell | 646 Anderson Ave., New York, NY 10024 | Physician Assistant | 2005-09-01 ~ 2006-09-30 |
| Bodhi M Anderson | 100 Barenaba Ln, Hilo, HI 96720-4218 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Deanne M Anderson | 154 Croyden Terrace, Springfield, MA 01104 | Physician Assistant | 1999-08-03 ~ 1999-10-31 |
| Katie Lynn Anderson | 15 Wiemes Ct, Waterford, CT 06385 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Darcy Anderson | 147 Hartford Ave, East Granby, CT 06026 | Physician Assistant | 1995-04-19 ~ 1996-06-30 |
| Jakelinne E Caballero-asta | 26 Anderson Rd, Katonah, NY 10536-1128 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Erin R Anderson | 109 Highland Road, Stamford, CT 06902 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Larry F Eng · Larry F Eng Inc | 16 Rita Rd, Ridgefield, CT 06877 | Home Improvement Contractor | ~ 1995-08-01 |
Please comment or provide details below to improve the information on LARRY A ANDERSON.
| 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).