KATHLEEN M RECCORD PA (Credential# 742509) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
KATHLEEN M RECCORD PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000760. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 9 1/2 Oakland St, Wilbraham, MA 01095. The current status is active.
| Licensee Name | KATHLEEN M RECCORD PA |
| Credential ID | 742509 |
| Credential Number | 23.000760 |
| Credential Type | Physician Assistant |
| Business Address |
9 1/2 Oakland St Wilbraham MA 01095 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-07-24 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 244244 | CSP.0030034 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-09-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 9 1/2 OAKLAND ST |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kara Elizabeth Gasteyer | 6 Victoria Court, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Ethan Michael Gasteyer | 40 Shirley Street, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Anne M Grady | 692 Stony Hill Road, Wilbraham, MA 01095 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Bryant A Chouinard | 5 Oldwood Rd, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Michael F Egan | 22 Fernwood Drive, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Janice A Mitchell | P.o. Box 101, Wilbraham, MA 01095 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Paul A Huijing | P.o. Box 516, Wilbraham, MA 01095 | Professional Engineer | 2020-05-05 ~ 2021-01-31 |
| Dang Ngo | 38 Weston Street, Wilbraham, MA 01095 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Katlyn E O'brien | 416 Soule Road, Wilbraham, MA 01095 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marie A Bienvenue | 3 Evergreen Circle, Wilbraham, MA 01095 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 01095 | |||
| City | WILBRAHAM |
| Zip Code | 01095 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WILBRAHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen M Shea | 182 Front St., New Haven, CT 06513 | Physician Assistant | 2017-10-01 ~ 2018-09-30 |
| Kathleen K Treanor | 111 Jamestown Dr, Springfield, MA 01108-3145 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kathleen Wilcox | 47 Millard St Fl 2, New Britain, CT 06051-2431 | Physician Assistant | 2020-06-25 ~ 2020-09-30 |
| Kathleen F Latronica Pa-c | 39 Round Hill Rd, Woodbridge, CT 06525 | Physician Assistant | 2012-07-01 ~ 2013-06-30 |
| Kathleen Hutcheon | 105 Pleasant Ave, White Plains, NY 10605 | Physician Assistant | 1996-08-26 ~ 1997-10-31 |
| Kathleen M Orazietti Pa | 717 Long Hill Ave., Shelton, CT 06484 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Kathleen Kelliher Pa | 111 Whiting Lane, West Hartford, CT 06119 | Physician Assistant | 2019-07-01 ~ 2020-06-30 |
| Kathleen Mary Kellerman Pa | 11 Saxton Lane, Broad Brook, CT 06016 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Rachel Kathleen Valdivieso | 55 Dorset Xing Unit 325, Simsbury, CT 06070-1476 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| 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 |
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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).