KATHRYN J FONTWIT (Credential# 742014) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 15, 1999. The license expiration date date is October 31, 2000. The license status is INACTIVE.
KATHRYN J FONTWIT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000265. The credential type is physician assistant. The effective date is October 15, 1999. The expiration date is October 31, 2000. The business address is 512 Monterey Road #6, Pacifica, CA 94044. The current status is inactive.
| Licensee Name | KATHRYN J FONTWIT |
| Credential ID | 742014 |
| Credential Number | 23.000265 |
| Credential Type | Physician Assistant |
| Business Address |
512 Monterey Road #6 Pacifica CA 94044 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-10-29 |
| Effective Date | 1999-10-15 |
| Expiration Date | 2000-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 512 Monterey Road #6 |
| City | Pacifica |
| State | CA |
| Zip Code | 94044 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William W Keaney | 1238 Glacier Ave, Pacifica, CA 94044 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
| Jason M Heering | 35 Alcala Ct, Pacifica, CA 94044 | Engineer-in-training | 2003-06-10 ~ 2013-06-10 |
| Kristen A Dubiel | 310 Esplanade Dr, Pacifica, CA 94044 | Physical Therapist | 1995-10-03 ~ 1996-11-30 |
| Roger H Leach | 702 St Lawrence Ct, Pacifica, CA 94044 | Registered Nurse | 1994-06-20 ~ 1995-06-30 |
| Faye S Lundergan | 1111 Glacier Ave, Pacifica, CA 94044 | Pharmacist | 1997-02-01 ~ 1998-01-31 |
| Malgorzata Beata Bochenska | 104 Bella Vista Ave, Pacifica, CA 94044-2209 | Behavior Analyst | 2020-03-01 ~ 2021-02-28 |
| Pauline A Lanati | 515 Carmel Avenue, Pacifica, CA 94044-2412 | Registered Nurse | 1996-01-11 ~ 1997-03-31 |
| City | Pacifica |
| Zip Code | 94044 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Pacifica |
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|---|---|---|---|
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| Kathryn Vignati | 22 E Shore Dr, Niantic, CT 06357 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kathryn M Gaudino | 100 Highland Ave, Eastchester, NY 10709-3600 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kathryn B Fuss | 515 West Ave Apt 332, Norwalk, CT 06850-4039 | Physician Assistant | 2019-11-15 ~ 2020-11-30 |
| Kathryn Connor | 118 Windwood Way, Mystic, CT 06355-2158 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Kathryn R Gordon-escobar Pa | 16 Shoreham Rd, New Haven, CT 06512 | Physician Assistant | 2004-10-05 ~ 2005-10-31 |
| Kathryn N. Thompson | 4 Corporate Drive, Shelton, CT 06484 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kathryn M Yunkovic | 3164 Fairmount Ave, Bronx, NY 10465-1442 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Kathryn M Schwarz | 102 Columbine Drive, Trumbull, CT 06611 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Kathryn Marie Lafleur | 20 Northampton Ln Apt A1, Plainville, CT 06062-1245 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
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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).