THERESA PHILLIPS (Credential# 742788) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
THERESA PHILLIPS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001039. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 23 Sand Hill Rd, Ashford, CT 06278-2520. The current status is active.
| Licensee Name | THERESA PHILLIPS |
| Credential ID | 742788 |
| Credential Number | 23.001039 |
| Credential Type | Physician Assistant |
| Business Address |
23 Sand Hill Rd Ashford CT 06278-2520 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-12-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1051229 | CSP.0051952 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-02-08 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 23 Sand Hill Rd |
| City | Ashford |
| State | CT |
| Zip Code | 06278-2520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amber I Cote | 355 Ashford Center Rd, Ashford, CT 06278 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie C Desjarlais | 288 Turnpike Rd, Ashford, CT 06278 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica S Kallio | 149 Ashford Center Rd Apt C3, Ashford, CT 06278 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Eileen F Lynch-james | 10 Lakeview Dr, Ashford, CT 06278 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Debra Anne Crivello | 129 Varga Road, Ashford, CT 06278 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Steven R Jacobs | Box 194, Ashford, CT 06278 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Kelly Sargenti | 7 Horse Hill Rd, Ashford, CT 06278 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-16 ~ 2021-07-31 |
| Tracy A Will · Chase | 436 Turnpike Road, Ashford, CT 06278 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Thomas J Greninger | 216 Ledegmere Apts, Ashford, CT 06278 | Engineer-in-training | 1982-07-15 ~ 1992-07-15 |
| Kathleen G Freeman · Batter | 138 Squaw Hollow Road, Ashford, CT 06278 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06278 | |||
| City | Ashford |
| Zip Code | 06278 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Ashford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Sean Phillips | 307 State Route 187, Milan, TN 38358-6253 | Physician Assistant | 2019-06-01 ~ 2020-05-31 |
| Theresa Mae Labrecque | 50 West Street, Belchertown, MA 01007 | Physician Assistant | ~ |
| Theresa L Mclaughlin | 300 E 75th St, New York, NY 10021-3375 | Physician Assistant | 2012-09-01 ~ 2013-08-31 |
| Theresa A Skelly | 10 Villa Ln, Wappingers Falls, NY 12590-7225 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Theresa M Yacovone | 285 Elllendale Circle, Springfield, MA 01128 | Physician Assistant | 2008-04-28 ~ 2009-04-30 |
| Theresa C Hanson · Day, Christine | 165 Dwight St., New Haven, CT 06511 | Physician Assistant | 2001-02-26 ~ 2002-02-28 |
| Theresa E Cohen | 255 Beach St, West Haven, CT 06516-6108 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Theresa M Pitassi | 304 Pinecroft Drive, Raleigh, NC 27609 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Theresa Phillips Johnson | 6150 Wintergreen Rd, Norcross, GA 30093 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on THERESA PHILLIPS.
| 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).