ELAINE LARSON (Credential# 741850) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
ELAINE LARSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000101. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 52 David Lane, Northford, CT 06472. The current status is active.
| Licensee Name | ELAINE LARSON |
| Credential ID | 741850 |
| Credential Number | 23.000101 |
| Credential Type | Physician Assistant |
| Business Address |
52 David Lane Northford CT 06472 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-08-27 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 164449 | CSP.0021407 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 52 DAVID LANE |
| City | NORTHFORD |
| State | CT |
| Zip Code | 06472 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrizia O Lorenti | 57 Idylwood Drive, Northford, CT 06472 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| James Lewis Rusconi | 319 Reeds Gap Road, Northford, CT 06472 | Hoisting Equipment Operator | 2018-04-27 ~ 2020-04-27 |
| Stephanie A Muraski | 14 Maplewood Lane, Northford, CT 06472 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jared D Incillo | 41 Blue Trail Dr, Northford, CT 06472 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joseph Ochenkowski | 84 Parsonage Hl Rd, Northford, CT 06472 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Domenic Dedomenico | 78 Woodvale Drive, Northford, CT 06472 | Water Treatment Plant Operator - Class Iv | 2020-04-01 ~ 2023-03-31 |
| Angel Wulff | 50 Mountain View Terrace, Northford, CT 06472 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kerry A Augur · Donnaruma | 132 Mill Road, Northford, CT 06472 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jessica Lynn Mckee | 83 Anderson Road, Northford, CT 06472 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Erica M Albrecht | 67 Woodhouse Ave., Northford, CT 06472 | Registered Nurse | 2020-06-17 ~ 2021-03-31 |
| Find all Licenses in zip 06472 | |||
| City | NORTHFORD |
| Zip Code | 06472 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORTHFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suzanne E Larson | 25 Shore Acre Drive, Old Greenwich, CT 06870 | Physician Assistant | 2002-07-15 ~ 2003-07-31 |
| Elaine Grant | 10873 Ramblewood Ave., Baton Rouge, LA 70810 | Physician Assistant | 2009-10-01 ~ 2010-09-30 |
| Elaine Mangini | 94 Freeman Ridge Road, Trenton, ME 04679 | Physician Assistant | 2018-03-02 ~ 2018-08-31 |
| Elaine Accorsini Rpa-c | 3 Timberwood Place, South Salem, NY 10590 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Elaine K Bonoan Pa | 3 Hunting Lane, North Haven, CT 06473 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Elaine C Larson | 689 Squaw Rock Rd, Moosup, CT 06354 | Real Estate Broker | 2005-04-01 ~ 2006-03-31 |
| Kurt Larson · The Larson Company | 1071 Boston Tnpk, Bolton, CT 06043 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| James Larson · Jim Larson Builder | 14 Wagon Wheel Ln, Portland, CT 06480 | Home Improvement Contractor | 2003-12-01 ~ 2004-11-30 |
| Keith Larson · Landscaping By Larson | 149 North Rd, Harwinton, CT 06791-1904 | Sub-surface Sewage Installer | 2020-02-01 ~ 2021-01-31 |
| Robert G Larson · Larson Bldgs Amd Remodelers | 252 Main St, Windsor Locks, CT 06096 | Home Improvement Contractor | 1999-04-06 ~ 1999-11-30 |
Please comment or provide details below to improve the information on ELAINE LARSON.
| 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).