STEPHEN J BURGESS PA (Credential# 742504) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 8, 1998. The license expiration date date is September 30, 1999. The license status is INACTIVE.
STEPHEN J BURGESS PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000755. The credential type is physician assistant. The effective date is September 8, 1998. The expiration date is September 30, 1999. The business address is 218 Russell Street, Hadley, MA 01035. The current status is inactive.
| Licensee Name | STEPHEN J BURGESS PA |
| Credential ID | 742504 |
| Credential Number | 23.000755 |
| Credential Type | Physician Assistant |
| Business Address |
218 Russell Street Hadley MA 01035 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-07-10 |
| Effective Date | 1998-09-08 |
| Expiration Date | 1999-09-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 878321 | 72.000113 | Paramedic | 1997-10-01 | 1998-09-08 - 1999-09-30 | INACTIVE |
| 160572 | CSP.0027265 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-08-05 - 1999-02-28 | INACTIVE | |
| 865636 | 70.931605 | Emergency Medical Technician | 1993-09-03 | - 1994-10-01 | INACTIVE |
| Street Address | 218 RUSSELL STREET |
| City | HADLEY |
| State | MA |
| Zip Code | 01035 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michele T West | 203 Bay Road, Hadley, MA 01035 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Proterra Design Group LLC | 4 Bay Road, Bldg A, Hadley, MA 01035 | Professional Engineering Corporation | 2020-06-15 ~ 2021-06-14 |
| Heather A Roseman | 5 Morningstar Dr, Hadley, MA 01035 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Richard S. Wojtowicz | 20 Shattuck Road, Hadley, MA 01035 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Molly A. Keegan | 16 Hadley Place, Hadley, MA 01035 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Thomas E Johnson | 4 Bay Road, Hadley, MA 01035 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Soyoun Kim | 19 Newton Lane, Hadley, MA 01035 | Hairdresser/cosmetician | 2020-02-01 ~ 2022-01-31 |
| Robin Therrien | 88 Russell Street, Hadley, MA 01035 | Notary Public Appointment | 2001-01-26 ~ 2006-01-31 |
| Michele Binette Scheuer | 25 Roosevelt Street, Hadley, MA 01035 | Notary Public Appointment | 2016-06-01 ~ 2021-05-31 |
| Vincent J Stankiewicz | 260 River Dr, Hadley, MA 01035 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Find all Licenses in zip 01035 | |||
| City | HADLEY |
| Zip Code | 01035 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HADLEY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen C Barresi Pa | 29-a Tylerwoods Rd, Haddam, CT 06438 | Physician Assistant | 2006-12-22 ~ 2007-12-31 |
| Stephen Weyel | 7 Cypress Dr, Branford, CT 06405-5906 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Stephen A Pollani | 121 Fan Hill Rd, Monroe, CT 06468-1830 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Stephen Paul Callahan | 114 Woodland St, Hartford, CT 06105 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Stephen Paul Welch | 14 Memory Ln, Waterford, CT 06385-1966 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Stephen Sales | 13 Salem Road, Prospect, CT 06712 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Stephen M Young | 19 Stony Brook Dr, Suffield, CT 06078-2372 | Physician Assistant | 2012-08-06 ~ 2013-03-31 |
| Stephen A Smolewski | 25 Field Street, Stamford, CT 06906 | Physician Assistant | 2019-04-01 ~ 2020-03-31 |
| Stephen M Lewis | 2958 Valley Ridge Dr, Decatur, GA 30032-5768 | Physician Assistant | 2017-11-01 ~ 2018-10-31 |
| Stephen C Murphy Pa | Orthopaedic & Neurosurgery Specialists, PC, Greenwich, CT 06831 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
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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).