ANDRE PELHAM-BRAITHWAITE
Physician Assistant


Address: 102 Bradhurst Ave Apt 316, New York, NY 10039-3319

ANDRE PELHAM-BRAITHWAITE (Credential# 742842) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2013. The license expiration date date is October 31, 2014. The license status is INACTIVE.

Business Overview

ANDRE PELHAM-BRAITHWAITE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001093. The credential type is physician assistant. The effective date is November 1, 2013. The expiration date is October 31, 2014. The business address is 102 Bradhurst Ave Apt 316, New York, NY 10039-3319. The current status is inactive.

Basic Information

Licensee Name ANDRE PELHAM-BRAITHWAITE
Credential ID 742842
Credential Number 23.001093
Credential Type Physician Assistant
Business Address 102 Bradhurst Ave Apt 316
New York
NY 10039-3319
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-08-03
Effective Date 2013-11-01
Expiration Date 2014-10-31
Refresh Date 2015-02-05

Office Location

Street Address 102 BRADHURST AVE APT 316
City NEW YORK
State NY
Zip Code 10039-3319

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Lisa A Norfleet 720 Lenox Avenue, New York, NY 10039 Licensed Practical Nurse 2007-01-08 ~ 2008-01-31
Helen B Colson 101 125w 147th St, New York, NY 10039 Registered Nurse 1995-05-01 ~ 1996-04-30
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Competitor

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City NEW YORK
Zip Code 10039
License Type Physician Assistant
License Type + County Physician Assistant + NEW YORK

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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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