SHARON A YOUNG PA
Physician Assistant


Address: 113 Frederick St #2-l, New Haven, CT 06515

SHARON A YOUNG PA (Credential# 742687) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 29, 2002. The license expiration date date is June 30, 2003. The license status is INACTIVE.

Business Overview

SHARON A YOUNG PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000938. The credential type is physician assistant. The effective date is May 29, 2002. The expiration date is June 30, 2003. The business address is 113 Frederick St #2-l, New Haven, CT 06515. The current status is inactive.

Basic Information

Licensee Name SHARON A YOUNG PA
Credential ID 742687
Credential Number 23.000938
Credential Type Physician Assistant
Business Address 113 Frederick St #2-l
New Haven
CT 06515
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-02-08
Effective Date 2002-05-29
Expiration Date 2003-06-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
234449 CSP.0029442 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-05-02 - 2003-02-28 INACTIVE

Office Location

Street Address 113 FREDERICK ST #2-L
City NEW HAVEN
State CT
Zip Code 06515

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City NEW HAVEN
Zip Code 06515
License Type Physician Assistant
License Type + County Physician Assistant + NEW HAVEN

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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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