CRYSTAL CLARKIN PA (Credential# 742407) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 2, 2007. The license expiration date date is June 30, 2008. The license status is INACTIVE.
CRYSTAL CLARKIN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000658. The credential type is physician assistant. The effective date is July 2, 2007. The expiration date is June 30, 2008. The business address is 2 Johnnycake Ln, Ivoryton, CT 06442. The current status is inactive.
Licensee Name | CRYSTAL CLARKIN PA |
Credential ID | 742407 |
Credential Number | 23.000658 |
Credential Type | Physician Assistant |
Business Address |
2 Johnnycake Ln Ivoryton CT 06442 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1997-05-16 |
Effective Date | 2007-07-02 |
Expiration Date | 2008-06-30 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
179658 | CSP.0025427 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-01 - 2008-02-29 | INACTIVE |
Street Address | 2 JOHNNYCAKE LN |
City | IVORYTON |
State | CT |
Zip Code | 06442 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cheryl B Dieso | 58 Comstock Ave, Ivoryton, CT 06442 | Architect | 2020-08-01 ~ 2021-07-31 |
Susan E Wyeth | 9 Summit Street, Ivoryton, CT 06442 | Architect | 2020-08-01 ~ 2021-07-31 |
Jill P Cartagena | 13 Highland Terrace, Ivoryton, CT 06442 | Architect | 2020-08-01 ~ 2021-07-31 |
Maria Malla | 70 Pond Meadow Rd, Ivoryton, CT 06442 | Nail Technician | 2020-06-18 ~ 2021-10-31 |
Michelle M D'amato | 17 Highland Terrace, Ivoryton, CT 06442 | Real Estate Salesperson | ~ |
Jennifer Tate | 26 Blake St, Ivoryton, CT 06442 | Architect | 2020-08-01 ~ 2021-07-31 |
Carol L Bowers · Talbot | 26 Summit St, Ivoryton, CT 06442 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lisa S Murphy-cipolla | 18 Windermere Way, Ivoryton, CT 06442 | Marital and Family Therapist | 2020-04-01 ~ 2021-03-31 |
Brooke N Greatsinger | 19 Blake Street, Ivoryton, CT 06442 | Real Estate Salesperson | ~ |
Timothy W Boyle | 14 Rosewood Lane, Ivoryton, CT 06442 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06442 |
City | IVORYTON |
Zip Code | 06442 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + IVORYTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kim Clarkin | 47 Lynwood Rd, Verona, NJ 07044-1714 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Crystal H Chung Pa | 39 Cross Lane, Cos Cob, CT 06807 | Physician Assistant | 2000-02-21 ~ 2001-02-28 |
Crystal A Huynh | 14 Heather Ln, Wilton, CT 06897-4132 | Physician Assistant | 2013-05-22 ~ 2013-11-30 |
Kristin Hall | 39 Crystal St, New Canaan, CT 06840 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Crystal L Rose Pa-c | 216 Church St, Newington, CT 06111 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Crystal D Ryder Pa-c | 96 Burr Road, Cochecton, NY 12726 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
Jaclyn D Colfer | 22 Crystal Brook Rd, Wolcott, CT 06716-1343 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Crystal M Machabee | 51 Evergreen Ln, Oakdale, CT 06370-1711 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Crystal L Harrigan | 877 Palisado Ave, Windsor, CT 06095-5118 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
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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).