BRYNA L AVENIA PAC
Physician Assistant


Address: 57 Lynette Ct, New Hartford, CT 06057-3225

BRYNA L AVENIA PAC (Credential# 742551) 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.

Business Overview

BRYNA L AVENIA PAC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000802. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 57 Lynette Ct, New Hartford, CT 06057-3225. The current status is active.

Basic Information

Licensee Name BRYNA L AVENIA PAC
Credential ID 742551
Credential Number 23.000802
Credential Type Physician Assistant
Business Address 57 Lynette Ct
New Hartford
CT 06057-3225
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-01-01
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-03-02

Other licenses

ID Credential Code Credential Type Issue Term Status
211432 CSP.0028108 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-04-06 2019-03-01 - 2021-02-28 ACTIVE
868500 70.951189 Emergency Medical Technician 1995-05-24 - 1997-06-30 INACTIVE

Office Location

Street Address 57 LYNETTE CT
City NEW HARTFORD
State CT
Zip Code 06057-3225

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Competitor

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City NEW HARTFORD
Zip Code 06057
License Type Physician Assistant
License Type + County Physician Assistant + NEW HARTFORD

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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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