CAROL KEYSOR
Physician Assistant


Address: 13113 White Cementary Road, Hannibal, NY 13074

CAROL KEYSOR (Credential# 742102) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 24, 2000. The license expiration date date is September 30, 2001. The license status is INACTIVE.

Business Overview

CAROL KEYSOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000353. The credential type is physician assistant. The effective date is October 24, 2000. The expiration date is September 30, 2001. The business address is 13113 White Cementary Road, Hannibal, NY 13074. The current status is inactive.

Basic Information

Licensee Name CAROL KEYSOR
Credential ID 742102
Credential Number 23.000353
Credential Type Physician Assistant
Business Address 13113 White Cementary Road
Hannibal
NY 13074
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-11-05
Effective Date 2000-10-24
Expiration Date 2001-09-30
Refresh Date 2009-07-08

Office Location

Street Address 13113 WHITE CEMENTARY ROAD
City HANNIBAL
State NY
Zip Code 13074

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Frank Lackey 23 Patrick Rd, Hannibal, NY 13074 Registered Nurse 2020-03-17 ~ 2020-10-31
Paul F Gorman 13162 Rt 176, Hannibal, NY 13074 Pharmacist 2011-02-01 ~ 2012-01-31
Faye L Kimball Rd #3, Hannibal, NY 13074 Registered Nurse 1992-05-27 ~ 1993-05-31
Jeffrey Erskin Po Box 195, Hannibal, NY 13074-0195 Asbestos Abatement Supervisor 2012-05-29 ~ 2013-07-31

Licenses in the same city

Licensee Name Office Address Credential Effective / Expiration
Mark Snyder 120 Terrace Ln, Hannibal, MO 63401-2768 Physician/surgeon ~
Phoebe W Kagunda 583 Clover Road, Hannibal, MO 63401 Registered Nurse 2019-09-01 ~ 2020-08-31
Karen E Floyd 3417 St Mary Ave, Hannibal, MO 63401 Hairdresser/cosmetician 2001-07-23 ~ 2002-04-30

Competitor

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City HANNIBAL
Zip Code 13074
License Type Physician Assistant
License Type + County Physician Assistant + HANNIBAL

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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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