KATHERINE F MACCHIA
Physician Assistant


Address: 73 Seaview Avenue, Branford, CT 06405

KATHERINE F MACCHIA (Credential# 742394) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 14, 1998. The license expiration date date is December 31, 1999. The license status is INACTIVE.

Business Overview

KATHERINE F MACCHIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000645. The credential type is physician assistant. The effective date is October 14, 1998. The expiration date is December 31, 1999. The business address is 73 Seaview Avenue, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name KATHERINE F MACCHIA
Credential ID 742394
Credential Number 23.000645
Credential Type Physician Assistant
Business Address 73 Seaview Avenue
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-03-07
Effective Date 1998-10-14
Expiration Date 1999-12-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
865672 70.931642 Emergency Medical Technician 1993-08-04 - 1995-07-01 INACTIVE

Office Location

Street Address 73 Seaview Avenue
City Branford
State CT
Zip Code 06405

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City Branford
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License Type Physician Assistant
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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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