PAM SLOCUM PA
Physician Assistant


Address: 15 Mt Laurel Drive, Wethersfield, CT 06109

PAM SLOCUM PA (Credential# 742042) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 17, 2000. The license expiration date date is June 30, 2001. The license status is INACTIVE.

Business Overview

PAM SLOCUM PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000293. The credential type is physician assistant. The effective date is July 17, 2000. The expiration date is June 30, 2001. The business address is 15 Mt Laurel Drive, Wethersfield, CT 06109. The current status is inactive.

Basic Information

Licensee Name PAM SLOCUM PA
Credential ID 742042
Credential Number 23.000293
Credential Type Physician Assistant
Business Address 15 Mt Laurel Drive
Wethersfield
CT 06109
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-10-29
Effective Date 2000-07-17
Expiration Date 2001-06-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
169325 CSP.0024155 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-02-29 - 2001-02-28 INACTIVE

Office Location

Street Address 15 MT LAUREL DRIVE
City WETHERSFIELD
State CT
Zip Code 06109

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Susan E Dimauro 330 Ridge Rd, Wethersfield, CT 06109 Registered Nurse 2020-07-01 ~ 2021-06-30
Mary Boccacio 174 Longvue Drive, Wethersfield, CT 06109 Esthetician ~
Steven C Hine 294 Hang Dog Ln, Wethersfield, CT 06109 Architect 2020-08-01 ~ 2021-07-31
Karolina Monika Fitrzyk 41 Mountain Laurel, Wethersfield, CT 06109 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Matthew R Dobos 33 Oxford St, Wethersfield, CT 06109 Registered Nurse 2020-07-01 ~ 2021-06-30
Samantha Grabbe 17 Rockland St, Wethersfield, CT 06109 Registered Nurse 2020-08-01 ~ 2021-07-31
Judith M Martz 307 Nott Street, Wethersfield, CT 06109 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Ups Store (the) 1077 Silas Deane Hwy, Wethersfield, CT 06109 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Amber H Washington 103 Parkview Drive, Wethersfield, CT 06109 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Kathleen A Mullady · Brancati 75 Dale Rd, Wethersfield, CT 06109 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WETHERSFIELD
Zip Code 06109
License Type Physician Assistant
License Type + County Physician Assistant + WETHERSFIELD

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Slocum & Sons Inc 30 Corporate Drive, North Haven, CT 06473 Wholesale Liquor 2004-05-21 ~ 2005-05-20
Slocum & Sons 30 Corporate Dr, North Haven, CT 06473-3254 Food Warehouse 2020-07-01 ~ 2021-06-30
Trisha D. Say 122 Slocum Rd, Hebron, CT 06248-1437 Occupational Therapist Assistant 2019-08-01 ~ 2021-07-31
Slocum & Sons of Maine Inc 30 Corporate Drive, North Haven, CT 06473 Ct Out of State Shipper Liquor 2004-05-18 ~ 2005-05-19
Patrick S L Slocum · Slocum's Lock and Key 2324 Washington Blvd, Stamford, CT 06905-4428 Locksmith 2019-06-13 ~ 2020-12-31
Slocum & Sons of Maine Inc 11 Main St, South Freeport, ME 04078 Out of State Shipper Liquor 2020-05-11 ~ 2021-05-10
Khurshid Razzaq 80 Slocum Rd, Hebron, CT 06248-1421 Physician/surgeon 2017-10-01 ~ 2018-09-30
Cdi Head Start - Slocum 25 Rumford St, Waterbury, CT 06704-3219 Child Care Center 2014-07-10 ~ 2018-07-31
Physician Assistant Foundation of The American Academy of Physician Assistants 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 Public Charity 2019-12-01 ~ 2020-11-30
Team - Slocum Center 25 Rumford St, Waterbury, CT 06704-3219 Child Care Center 2019-09-01 ~ 2023-08-31

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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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