PETER A ROSENBLUM (Credential# 742036) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
PETER A ROSENBLUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000287. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 12301 Ne Olive Dr, Kingston, WA 98346-9266. The current status is active.
| Licensee Name | PETER A ROSENBLUM |
| Credential ID | 742036 |
| Credential Number | 23.000287 |
| Credential Type | Physician Assistant |
| Business Address |
12301 Ne Olive Dr Kingston WA 98346-9266 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-10-29 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 177673 | CSP.0024498 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 12301 NE OLIVE DR |
| City | KINGSTON |
| State | WA |
| Zip Code | 98346-9266 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa V Rosenblum | 12301 Ne Olive Dr, Kingston, WA 98346-9266 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana L Sinnett | 26457 Kngsvw Lp Rd, Kingston, WA 98346 | Licensed Practical Nurse | 2002-12-30 ~ 2004-02-29 |
| Sally A Lighter | Po Box 1922, Kingston, WA 98346 | Registered Nurse | 2000-10-24 ~ 2001-11-30 |
| Amanda M Allen | 30797 Ludlow Dr Ne, Kingston, WA 98346-7645 | Registered Nurse | 2010-10-01 ~ 2011-09-30 |
| Nicole C Avila | 34801 Hood Canal Dr Ne, Kingston, WA 98346-9745 | Emergency Medical Technician | 2014-07-11 ~ 2016-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly Ohnemus | 2900 Kingstown Rd, Kingston, RI 02881-1518 | Youth Camp Director | 2020-06-18 ~ |
| Paul B Jankovitz | 62 Yale Court, Kingston, NY 12401 | Architect | 2020-08-01 ~ 2021-07-31 |
| Alexandra Jutras | 31 Mountain Laurel Dr, Kingston, RI 02881 | Registered Nurse | 2018-12-18 ~ 2019-12-31 |
| Gregory E Arakelian | 36 Campus Ave, Kingston, RI 02881-1304 | Real Estate Salesperson | 2017-04-24 ~ 2018-05-31 |
| Charles Kutler | 360 Washington Ave, Kingston, NY 12401-3702 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| Paul R Hammerl | 411 Albany Ave, Kingston, NY 12401-2525 | Embalmer | 2020-07-01 ~ 2021-06-30 |
| Hetta Glogg LLC | 85 Broadway, Kingston, NY 12401-6017 | Out of State Winery | 2020-07-26 ~ 2021-07-25 |
| Robin Lynne Andrade · Andrade Architecture Pllc | 31 Albany Ave, Kingston, NY 12401-2902 | Architect | 2018-07-12 ~ 2019-07-31 |
| James P Sperry | 305 Hurley Avenue, Kingston, NY 12401 | Landscape Architect | 2018-09-30 ~ 2019-07-31 |
| Douglas Milton Stevens | 2387 State Route 209, Kingston, NY 12401-7659 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in KINGSTON | |||
| City | KINGSTON |
| Zip Code | 98346 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + KINGSTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rosenblum Cellars Zinfandel Sonoma County St Peter's Church Vyd Reserve | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2006-06-13 ~ 2009-06-12 |
| Peter Zhang | 213 Ramapoo Rd, Ridgefield, CT 06877-3734 | Physician Assistant | ~ |
| Peter N Fish | 222 Riverside Dr Apt 3f, New York, NY 10025 | Physician Assistant | 2005-01-28 ~ 2006-03-31 |
| Rosenblum Cellars Inc | 2900 Main Street, Alameda, CA 94501 | Out of State Shipper Liquor | 2007-11-10 ~ 2008-11-09 |
| Peter A Davis | 75 Eastern Point Rd., Groton, CT 06340 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Peter Joseph Lopez Pa | 63 Pinacle Rd, Glastonbury, CT 06033-2521 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Peter J Gruca | 7 Deerfield Ln, South Windsor, CT 06074-2832 | Physician Assistant | 2014-08-01 ~ 2015-07-31 |
| Peter A Michaud Pa | 107 Dean Street, Stamford, CT 06902 | Physician Assistant | 2000-08-01 ~ 2001-07-31 |
| Peter S Nelson Pa | 64 Winding Lane, Avon, CT 06001 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Peter J. Kowalski | 6242 Sturbridge Court, Sarasota, FL 34238 | Physician Assistant | 2018-11-01 ~ 2019-10-31 |
Please comment or provide details below to improve the information on PETER A ROSENBLUM.
| 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).