LAUREL A GAY PA
Physician Assistant


Address: Middlesex Cardiology, Middletown, CT 06457

LAUREL A GAY PA (Credential# 742016) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2008. The license expiration date date is October 31, 2009. The license status is INACTIVE.

Business Overview

LAUREL A GAY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000267. The credential type is physician assistant. The effective date is December 1, 2008. The expiration date is October 31, 2009. The business address is Middlesex Cardiology, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name LAUREL A GAY PA
Credential ID 742016
Credential Number 23.000267
Credential Type Physician Assistant
Business Address Middlesex Cardiology
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-10-29
Effective Date 2008-12-01
Expiration Date 2009-10-31
Refresh Date 2010-03-12

Other licenses

ID Credential Code Credential Type Issue Term Status
54020 CSP.0024963 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address MIDDLESEX CARDIOLOGY
City MIDDLETOWN
State CT
Zip Code 06457

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type Physician Assistant
License Type + County Physician Assistant + MIDDLETOWN

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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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