KATHLEEN F LATRONICA PA-C
Physician Assistant


Address: 39 Round Hill Rd, Woodbridge, CT 06525

KATHLEEN F LATRONICA PA-C (Credential# 742458) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2012. The license expiration date date is June 30, 2013. The license status is INACTIVE.

Business Overview

KATHLEEN F LATRONICA PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000709. The credential type is physician assistant. The effective date is July 1, 2012. The expiration date is June 30, 2013. The business address is 39 Round Hill Rd, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name KATHLEEN F LATRONICA PA-C
Credential ID 742458
Credential Number 23.000709
Credential Type Physician Assistant
Business Address 39 Round Hill Rd
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-01-09
Effective Date 2012-07-01
Expiration Date 2013-06-30
Refresh Date 2013-10-08

Other licenses

ID Credential Code Credential Type Issue Term Status
192377 CSP.0026508 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-01 - 2013-02-28 INACTIVE
867366 70.950046 Emergency Medical Technician 1994-12-15 - 1997-01-01 INACTIVE

Office Location

Street Address 39 ROUND HILL RD
City WOODBRIDGE
State CT
Zip Code 06525

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Competitor

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City WOODBRIDGE
Zip Code 06525
License Type Physician Assistant
License Type + County Physician Assistant + WOODBRIDGE

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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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