ALLISON L VALLEY PA (Credential# 742387) 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.
ALLISON L VALLEY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000638. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 445 Camp St, Bristol, CT 06010. The current status is active.
| Licensee Name | ALLISON L VALLEY PA |
| Credential ID | 742387 |
| Credential Number | 23.000638 |
| Credential Type | Physician Assistant |
| Business Address |
445 Camp St Bristol CT 06010 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-01-31 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 181583 | CSP.0025389 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 752732 | 28.001941 | Radiographer | 1994-11-04 | 1996-03-12 - 1997-05-31 | INACTIVE |
| Street Address | 445 CAMP ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen A Baker | 4 Allison Dr, Madison, CT 06443-2174 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Allison L Baysol | 3 Paul St # 1, Brunswick, ME 04011-2807 | Physician Assistant | 2015-12-02 ~ 2016-12-31 |
| Allison L Bailey | 282 Washington St, Hartford, CT 06106-3322 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Allison N Hallbach | 207 George St, Middletown, CT 06457 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Michael Allison | 329 Valley Ave, Bridgeport, CT 06606-3750 | Family Child Care Assistant | 2017-11-01 ~ 2019-10-31 |
| Briana Allison | 329 Valley Ave, Bridgeport, CT 06606-3750 | Family Child Care Assistant | 2018-10-22 ~ 2020-10-31 |
| Allison Y Adajian | 779 Mountain Rd, West Hartford, CT 06117-1141 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Allison E Taylor | 206 Camp Street, Middletown, CT 06457 | Physician Assistant | 1993-12-01 ~ 1994-04-30 |
| Michael Leon Allison Jr | 329 Valley Avenue, Bridgeport, CT 06606 | Family Child Care Assistant | 2017-11-01 ~ 2019-10-31 |
| Allison R Ayers | 1330 West Ave, Miami Beach, FL 33139-0900 | Physician Assistant | 2017-07-01 ~ 2018-06-30 |
Please comment or provide details below to improve the information on ALLISON L VALLEY PA.
| 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).