CHRISTINA L KOSKINAS
Physician Assistant


Address: 62 Barlow Plain Drive, Fairfield, CT 06824

CHRISTINA L KOSKINAS (Credential# 742441) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

CHRISTINA L KOSKINAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000692. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 62 Barlow Plain Drive, Fairfield, CT 06824. The current status is active.

Basic Information

Licensee Name CHRISTINA L KOSKINAS
Credential ID 742441
Credential Number 23.000692
Credential Type Physician Assistant
Business Address 62 Barlow Plain Drive
Fairfield
CT 06824
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1998-01-02
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-04-28

Other licenses

ID Credential Code Credential Type Issue Term Status
157956 CSP.0027226 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE
867346 70.950026 Emergency Medical Technician 1994-05-01 - 1996-12-31 INACTIVE

Office Location

Street Address 62 BARLOW PLAIN DRIVE
City FAIRFIELD
State CT
Zip Code 06824

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Competitor

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City FAIRFIELD
Zip Code 06824
License Type Physician Assistant
License Type + County Physician Assistant + FAIRFIELD

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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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