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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
169325 | CSP.0024155 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
Street Address | 15 MT LAUREL DRIVE |
City | WETHERSFIELD |
State | CT |
Zip Code | 06109 |
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 |
Find all Licenses in zip 06109 |
City | WETHERSFIELD |
Zip Code | 06109 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WETHERSFIELD |
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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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).