SUSAN L RANCIS (Credential# 741824) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 29, 1997. The license expiration date date is July 31, 1998. The license status is INACTIVE.
SUSAN L RANCIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000075. The credential type is physician assistant. The effective date is July 29, 1997. The expiration date is July 31, 1998. The business address is 5 Raphael Way, Westport, CT 06880. The current status is inactive.
Licensee Name | SUSAN L RANCIS |
Credential ID | 741824 |
Credential Number | 23.000075 |
Credential Type | Physician Assistant |
Business Address |
5 Raphael Way Westport CT 06880 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1993-07-30 |
Effective Date | 1997-07-29 |
Expiration Date | 1998-07-31 |
Refresh Date | 2009-07-08 |
Street Address | 5 RAPHAEL WAY |
City | WESTPORT |
State | CT |
Zip Code | 06880 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan Rancis Pa | 5 Raphael Way, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06880 |
City | WESTPORT |
Zip Code | 06880 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WESTPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan Rancis Pa | 5 Raphael Way, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Susan Martins Pa | 66 Susan Dr, Ludlow, MA 01056 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Chetna Patel | 29 Susan Dr, Dudley, MA 01571-3800 | Physician Assistant | ~ |
Susan K Peters-pac | 216 Oxford St, Hartford, CT 06105-2250 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Susan M Roy | 2086 Stanley St #408, New Britain, CT 06053 | Physician Assistant | 1994-01-10 ~ 1995-01-31 |
Susan Barksdale Pa | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Susan L Epperson | 40 Greenbriar Mnr, Campbellsville, KY 42718 | Physician Assistant | ~ 1997-10-31 |
Susan Sarvay Pa | 58 Neal St Apt 2, Portland, ME 04102-3561 | Physician Assistant | 2017-06-01 ~ 2018-05-31 |
Susan Curilla | 9 E Tomstead Rd, Simsbury, CT 06070-2005 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Susan Fair Pa | 24 Woodward Ave #61, New Haven, CT 06512-3636 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).