SUSAN SARVAY PA
Physician Assistant


Address: 58 Neal St Apt 2, Portland, ME 04102-3561

SUSAN SARVAY PA (Credential# 742171) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2017. The license expiration date date is May 31, 2018. The license status is INACTIVE.

Business Overview

SUSAN SARVAY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000422. The credential type is physician assistant. The effective date is June 1, 2017. The expiration date is May 31, 2018. The business address is 58 Neal St Apt 2, Portland, ME 04102-3561. The current status is inactive.

Basic Information

Licensee Name SUSAN SARVAY PA
Credential ID 742171
Credential Number 23.000422
Credential Type Physician Assistant
Business Address 58 Neal St Apt 2
Portland
ME 04102-3561
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-01-28
Effective Date 2017-06-01
Expiration Date 2018-05-31
Refresh Date 2018-09-03

Other licenses

ID Credential Code Credential Type Issue Term Status
281778 CSP.0031106 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 58 NEAL ST APT 2
City PORTLAND
State ME
Zip Code 04102-3561

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Gary E Duford 53 Chadwick Street, Portland, ME 04102 Pharmacist 2020-02-01 ~ 2022-01-31
Kristen E Culmo 214 Brackett St, Portland, ME 04102 Registered Nurse 2019-11-01 ~ 2020-10-31
Robert J Cleveland 240 Park Avenue, Portland, ME 04102 Licensed Clinical Social Worker 2019-07-01 ~ 2020-06-30
Alison J Lanman 40 Mitton Street, Portland, ME 04102 Registered Nurse 2019-05-01 ~ 2020-04-30
Nichole Bickley 50 County Way, Portland, ME 04102 Pharmacy Technician 2017-04-01 ~ 2018-03-31
David Washburn · P G Vinyl Windows 69 Whitney Ave, Portland, ME 04102 Home Improvement Salesperson 1996-08-13 ~ 1996-11-30
Robert J Rohner · Carpentry and Renovation 152 Bolton St, Portland, ME 04102 Home Improvement Contractor 2004-12-01 ~ 2005-11-30
David A Lamarche 91 Neal St, Portland, ME 04102 Registered Nurse 2016-01-01 ~ 2016-12-31
Paul S Stevens 21 Thomas St, Portland, ME 04102 Architect 2014-08-01 ~ 2015-07-31
John P Griffin 195 Fore River Parkway, Portland, ME 04102 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
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Competitor

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City PORTLAND
Zip Code 04102
License Type Physician Assistant
License Type + County Physician Assistant + PORTLAND

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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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