MAUREEN A ROBERT (Credential# 742480) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MAUREEN A ROBERT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000731. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is C/o Frank Bush, M.d., Manchester, CT 06042. The current status is active.
| Licensee Name | MAUREEN A ROBERT |
| Credential ID | 742480 |
| Credential Number | 23.000731 |
| Credential Type | Physician Assistant |
| Business Address |
C/o Frank Bush, M.d. Manchester CT 06042 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-03-06 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 195592 | CSP.0026831 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 862052 | 70.911632 | Emergency Medical Technician | 1991-08-28 | - 1997-06-30 | INACTIVE |
| Street Address | C/O FRANK BUSH, M.D. |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Greco Pa | 12 Sand Rd, New Milford, CT 06770 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Robert L Bligh Jr. | 23 Cortland Way, Newington, CT 06111 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Robert J Kupis | 107 Pennsylvania Ave, Niantic, CT 06357-2509 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Robert J Brice | 124 Simpson Ave, Wallingford, CT 06492 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Robert J Alfiero Pa | 2 Champion St, Westerly, RI 02891 | Physician Assistant | 2004-06-14 ~ 2005-05-31 |
| Adam Robert Sokolowski | 35 Sylvia Ct, Plantsville, CT 06479-1322 | Physician Assistant | ~ |
| Robert Ficara Pa | 30 Farm Lea Dr, Somers, CT 06071-1117 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Marc Robert Feldmeier Pa | 41 Hunters Mtn Rd, Oxford, CT 06478 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Robert W Ballough | 4 Farm Court, Wallingford, CT 06492-2100 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Robert Lucas Pa | 30 Duke Dr, Rancho Mirage, CA 92270 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
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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).