SARA J RIDER
Physician Assistant


Address: 150 Sodom Street, Granville, MA 01034

SARA J RIDER (Credential# 742804) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 4, 2001. The license expiration date date is October 31, 2001. The license status is INACTIVE.

Business Overview

SARA J RIDER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001055. The credential type is physician assistant. The effective date is January 4, 2001. The expiration date is October 31, 2001. The business address is 150 Sodom Street, Granville, MA 01034. The current status is inactive.

Basic Information

Licensee Name SARA J RIDER
Credential ID 742804
Credential Number 23.001055
Credential Type Physician Assistant
Business Address 150 Sodom Street
Granville
MA 01034
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-01-04
Effective Date 2001-01-04
Expiration Date 2001-10-31
Refresh Date 2009-07-08

Office Location

Street Address 150 Sodom Street
City Granville
State MA
Zip Code 01034

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Hattie C White 968 Colebrook River Road, Tolland, MA 01034 Registered Nurse 2020-07-01 ~ 2021-06-30
Kathleen Barbara Searles 43 Clubhouse Rd, Tolland, MA 01034 Registered Nurse 2018-12-18 ~ 2019-12-31
Kimberly A Baker 538 South Ln, Granville, MA 01034 Registered Nurse 2020-06-01 ~ 2021-05-31
James Michael O'neill 135 Owls Nest Lane, Tolland, MA 01034 Behavior Analyst 2020-02-01 ~ 2021-01-31
Kara Levan 389 Water Street, Granville, MA 01034 Esthetician 2020-03-18 ~ 2021-09-30
Tonya E Stannard 297 Crest Lane, Granville, MA 01034 Hairdresser/cosmetician 2020-03-01 ~ 2022-02-28
Aimee L Chapman 205 Hartland Hollow Road, W. Granville, MA 01034 Hairdresser/cosmetician 2020-04-01 ~ 2022-03-31
Wayne A Durfey · Durfey Heating Systems 131 Cross Rd, Granville, MA 01034 Limited Sheet Metal Contractor 2020-02-18 ~ 2020-08-31
Mary E Gannotti · Marchant 451 Main Road, Granville, MA 01034 Physical Therapist 2020-03-01 ~ 2021-02-28
Travis K Britt 50 Mccarthy Rd, Granville, MA 01034 Heating, Piping & Cooling Limited Journeyperson 2019-12-30 ~ 2020-08-31
Find all Licenses in zip 01034

Competitor

Search similar business entities

City Granville
Zip Code 01034
License Type Physician Assistant
License Type + County Physician Assistant + Granville

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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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