LAURA L STAPLETON (Credential# 742046) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2018. The license expiration date date is July 31, 2019. The license status is INACTIVE.
LAURA L STAPLETON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000297. The credential type is physician assistant. The effective date is August 1, 2018. The expiration date is July 31, 2019. The business address is 3 Cobblers Lane, Old Lyme, CT 06371. The current status is inactive.
| Licensee Name | LAURA L STAPLETON |
| Credential ID | 742046 |
| Credential Number | 23.000297 |
| Credential Type | Physician Assistant |
| Business Address |
3 Cobblers Lane Old Lyme CT 06371 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-10-29 |
| Effective Date | 2018-08-01 |
| Expiration Date | 2019-07-31 |
| Refresh Date | 2019-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163444 | CSP.0022995 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 3 COBBLERS LANE |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
| All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06371 | |||
| City | OLD LYME |
| Zip Code | 06371 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + OLD LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jodi S Rodriguez | 386 Stapleton Rd, Springfield, MA 01109-1552 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Laura C Kozol | 97 Avonridge, Avon, CT 06001 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Laura D Wilk Pa | 539 Smithtown Ave, Bohemia, NY 11716 | Physician Assistant | 2007-10-03 ~ 2008-10-31 |
| Laura Jeanblanc | 21 Chatfield Dr, Lakeville, CT 06039 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Laura M Smith | 20 York St, New Haven, CT 06510-3220 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Laura K Lok Pa | 6 Wood Creek Rd, Burlington, CT 06013 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Laura M Kielb Pa-c | 26 Bartlett Ct, Wilbraham, MA 01095-1705 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Laura H Jaeger | 23 Middlefield Dr, West Hartford, CT 06107 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Laura Troidle | Metabolism Assocs, New Haven, CT 06510 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Laura Robinson | 424 Mather Greene Av, Charlotte, NY 28203 | Physician Assistant | 1996-06-11 ~ 1997-08-31 |
Please comment or provide details below to improve the information on LAURA L STAPLETON.
| 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).