MARY M. ROBBINS PA (Credential# 742295) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MARY M. ROBBINS PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000546. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 21 Cherry Valley Rd #a, Columbia, CT 06237. The current status is active.
Licensee Name | MARY M. ROBBINS PA |
Credential ID | 742295 |
Credential Number | 23.000546 |
Credential Type | Physician Assistant |
Business Address |
21 Cherry Valley Rd #a Columbia CT 06237 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1996-01-12 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-04-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
167796 | CSP.0023996 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 21 Cherry Valley RD #A |
City | Columbia |
State | CT |
Zip Code | 06237 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sima K Lessner | 15 Russmar Tr, Columbia, CT 06237 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Patricia A Kearns | 148 Old Willimantic Road, Columbia, CT 06237 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
John W Everett | 95 West St, Columbia, CT 06237 | Architect | 2020-08-01 ~ 2021-07-31 |
Dona M Brodeur | 180 Pine St, Columbia, CT 06237 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Laura Bruckner | 181a Pine Street, Columbia, CT 06237 | Radiographer | 2020-05-01 ~ 2021-04-30 |
Zachary Harbec | 14a Hennequin Rd., Columbia, CT 06237 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
Jonathan Peschke | 5 Columbia Landing, Columbia, CT 06237 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Lynda A Everett | 534 Route 87, Columbia, CT 06237 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Donna C Hauschild | 37 Doubleday Rd, Columbia, CT 06237 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Theresa J Lagasse · Coughlin | 4 Randazzo Road, Columbia, CT 06237 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Find all Licenses in zip 06237 |
City | Columbia |
Zip Code | 06237 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Columbia |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Melissa L Marion Pa | 64 Robbins St, Waterbury, CT 06708-2613 | Physician Assistant | 2005-10-04 ~ 2006-07-31 |
Leonard Staller Pa | 160 Robbins St, Waterbury, CT 06708 | Physician Assistant | 2004-04-16 ~ 2005-06-30 |
Juliet Rivera | 64 Robbins St, Waterbury, CT 06708-2613 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Danielle J Robbins | 302 Providence Street, Woonsocket, RI 02895 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Mary Q Oh | 24 Robbins Drive, Barrington, RI 02806 | Physician/surgeon | 1996-11-06 ~ 1997-11-30 |
Mary Holmes Pa | 188 Woodhaven, Glastonbury, CT 06033 | Physician Assistant | 2002-03-12 ~ 2003-04-30 |
Kaitlyn Mary Roseman | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician Assistant | 2020-04-03 ~ 2020-11-30 |
Mary K Ferguson | 96 Straffordshire, Wallingford, CT 06492 | Physician Assistant | 1981-01-01 ~ 1994-06-30 |
Mary A Gunn | 40 Prospect St, Norwalk, CT 06850 | Physician Assistant | 1994-03-14 ~ 1994-09-30 |
Mary P Zayas | 9 Pioneer Dr, Copake, NY 12516 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
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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).