KATHRYN R GORDON-ESCOBAR PA (Credential# 742772) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 5, 2004. The license expiration date date is October 31, 2005. The license status is INACTIVE.
KATHRYN R GORDON-ESCOBAR PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001023. The credential type is physician assistant. The effective date is October 5, 2004. The expiration date is October 31, 2005. The business address is 16 Shoreham Rd, New Haven, CT 06512. The current status is inactive.
| Licensee Name | KATHRYN R GORDON-ESCOBAR PA |
| Credential ID | 742772 |
| Credential Number | 23.001023 |
| Credential Type | Physician Assistant |
| Business Address |
16 Shoreham Rd New Haven CT 06512 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-11-22 |
| Effective Date | 2004-10-05 |
| Expiration Date | 2005-10-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 278014 | CSP.0030946 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 16 SHOREHAM RD |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06512 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
| Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Find all Licenses in zip 06512 | |||
| City | NEW HAVEN |
| Zip Code | 06512 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Escobar | 115 Gordon Ln, East Hartford, CT 06118-2222 | Optician Apprentice | 2018-09-07 ~ 2019-08-31 |
| Kathryn Ann Janikas | 76 Yorktown Dr., Springfield, MA 01108 | Physician Assistant | ~ |
| Kathryn Connor | 118 Windwood Way, Mystic, CT 06355-2158 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Kathryn B Fuss | 515 West Ave Apt 332, Norwalk, CT 06850-4039 | Physician Assistant | 2019-11-15 ~ 2020-11-30 |
| Kathryn M Gaudino | 100 Highland Ave, Eastchester, NY 10709-3600 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kathryn Vignati | 22 E Shore Dr, Niantic, CT 06357 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Donald E Gordon | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Jennifer L Gordon Pa | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Gordon Plaut Pa | 13 Hawthorne Hill Rd, Ridgefield, CT 06877-1405 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kathryn O Nettleton | 1 Royce Circle, Storrs, CT 06268 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on KATHRYN R GORDON-ESCOBAR PA.
| 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).