CARRIE L HERRON PA
Physician Assistant


Address: 5 Five Gaits Farm, West Simsbury, CT 06092-2127

CARRIE L HERRON PA (Credential# 742134) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.

Business Overview

CARRIE L HERRON PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000385. The credential type is physician assistant. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is 5 Five Gaits Farm, West Simsbury, CT 06092-2127. The current status is active.

Basic Information

Licensee Name CARRIE L HERRON PA
Credential ID 742134
Credential Number 23.000385
Credential Type Physician Assistant
Business Address 5 Five Gaits Farm
West Simsbury
CT 06092-2127
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1993-11-12
Effective Date 2019-04-01
Expiration Date 2020-03-31
Refresh Date 2019-06-19

Other licenses

ID Credential Code Credential Type Issue Term Status
162631 CSP.0021826 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address 5 FIVE GAITS FARM
City WEST SIMSBURY
State CT
Zip Code 06092-2127

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Richard E Schoenhardt 7 Pasture Ln, W Simsbury, CT 06092 Architect 2020-08-01 ~ 2021-07-31
Agnes M Walsh 202 Farms Village Road, West Simsbury, CT 06092 Physical Therapist 2020-09-01 ~ 2021-08-31
Theodore C Hsu 22 Fox Den Road, West Simsbury, CT 06092 Notary Public Appointment 2020-09-01 ~ 2025-08-31
Keith R Epstein 34 Fox Den Rd, Simsbury, CT 06092 Architect 2020-08-01 ~ 2021-07-31
Laura L Nelson 109 Hedgehog Lane, West Simsbury, CT 06092 Nursing Home Administrator 2020-09-01 ~ 2022-08-31
Kathryn P Rothstein 7 Sachems Trail, West Simsbury, CT 06092 Registered Nurse 2020-09-01 ~ 2021-08-31
Timothy M Parker 14 Cedar Hill Rd, West Simsbury, CT 06092 Registered Nurse 2020-07-01 ~ 2021-06-30
Teresa Pfau St Denis 55 Wildwood Rd, W Simsbury, CT 06092 Architect 2020-08-01 ~ 2021-07-31
Jennifer R Martocchio 6 Counrty Club Drive, West Simsbury, CT 06092 Real Estate Salesperson ~
Felipe R Segura 370c West Mountain Road, West Simsbury, CT 06092 Real Estate Salesperson 2020-06-10 ~ 2021-05-31
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Competitor

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City WEST SIMSBURY
Zip Code 06092
License Type Physician Assistant
License Type + County Physician Assistant + WEST SIMSBURY

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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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