SUSAN J FLETCHER
Physician Assistant


Address: 190 Ball Fall Road, Middletown, CT 06457

SUSAN J FLETCHER (Credential# 742161) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.

Business Overview

SUSAN J FLETCHER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000412. The credential type is physician assistant. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 190 Ball Fall Road, Middletown, CT 06457. The current status is active.

Basic Information

Licensee Name SUSAN J FLETCHER
Credential ID 742161
Credential Number 23.000412
Credential Type Physician Assistant
Business Address 190 Ball Fall Road
Middletown
CT 06457
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1994-01-07
Effective Date 2020-02-01
Expiration Date 2021-01-31
Refresh Date 2019-11-26

Office Location

Street Address 190 BALL FALL ROAD
City MIDDLETOWN
State CT
Zip Code 06457

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Elizabeth M Mailhot 177 Timber Ridge Rd, Middletown, CT 06457 Dental Hygienist 2020-08-01 ~ 2021-07-31
Rebecca S Fennessy 22 Keefe Ln, Middletown, CT 06457 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
Eloise M Gagnon 538 Bow Lane, Middletown, CT 06457 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Salvatore Dimauro 245 Dekoven Dr, Middletown, CT 06457 Public Weigher 2020-07-01 ~ 2021-06-30
Frank L Wright 261 Spencer Dr, Middletown, CT 06457 Barber 2020-08-01 ~ 2022-07-31
Gino A Cardella 50 Sonoma Lane, Middletown, CT 06457 Real Estate Salesperson ~
Shannon Lee Mcquillan 5 Forest Glen Circle, Middletown, CT 06457 Registered Nurse 2020-06-26 ~ 2020-09-30
Lori Dimauro · Carta 244 Chamberlain Hill Road, Middletown, CT 06457 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Gail A Corrow 85 Dora Dr, Middletown, CT 06457 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Mariter V Perez 8 Moss Glen, Middletown, CT 06457 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type Physician Assistant
License Type + County Physician Assistant + MIDDLETOWN

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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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