STEVEN W KREISHER PA (Credential# 743061) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 29, 2006. The license expiration date date is November 30, 2007. The license status is INACTIVE.
STEVEN W KREISHER PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001312. The credential type is physician assistant. The effective date is September 29, 2006. The expiration date is November 30, 2007. The business address is 31 Atwater St, Derby, CT 06418. The current status is inactive.
Licensee Name | STEVEN W KREISHER PA |
Credential ID | 743061 |
Credential Number | 23.001312 |
Credential Type | Physician Assistant |
Business Address |
31 Atwater St Derby CT 06418 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2002-12-17 |
Effective Date | 2006-09-29 |
Expiration Date | 2007-11-30 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
329718 | CSP.0033073 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
Street Address | 31 ATWATER ST |
City | DERBY |
State | CT |
Zip Code | 06418 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06418 |
City | DERBY |
Zip Code | 06418 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + DERBY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Steven Crook | 881 Knapps Hwy, Fairfield, CT 06430 | Physician Assistant | 1995-10-18 ~ 1996-09-30 |
Steven Lebowitz Pa | 28 Rugby Ln, S Windsor, CT 06074 | Physician Assistant | 2008-08-04 ~ 2009-09-30 |
Steven G Sweitzer Pa | 19 Sherwood Dr, Wallkill, NY 12589-4025 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Steven Y Ng | 15 Rodia Ridge Rd, Shelton, CT 06484-1631 | Physician Assistant | 2019-01-01 ~ 2019-12-31 |
Steven F Burke | 147 Hartford Ave, East Granby, CT 06026 | Physician Assistant | 1996-03-20 ~ 1997-04-30 |
Steven R Pirola | 21 Worthington Drive, Bloomfield, CT 06002 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Steven Bush | 4346 W Roundhouse Rd Apt 10, Swartz Creek, MI 48473-1452 | Physician Assistant | ~ |
Steven J Escaravage | 243 Steele Rd Apt 212, West Hartford, CT 06117-1721 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Steven Stoltzenberg | 5 Burchard Court, Staten Island, NY 10312 | Physician Assistant | 2014-05-19 ~ 2015-05-31 |
Steven Weinreich Pa | 2 Fourth Avenue, West Haven, CT 06516 | Physician Assistant | 2001-02-27 ~ 2002-02-28 |
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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).