ALISON C JOHNSON (Credential# 743090) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
ALISON C JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001341. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 130 Vining Hill Rd, Southwick, MA 01077-9413. The current status is active.
| Licensee Name | ALISON C JOHNSON |
| Credential ID | 743090 |
| Credential Number | 23.001341 |
| Credential Type | Physician Assistant |
| Business Address |
130 Vining Hill Rd Southwick MA 01077-9413 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-04-03 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 338180 | CSP.0033446 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-04-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 130 VINING HILL RD |
| City | SOUTHWICK |
| State | MA |
| Zip Code | 01077-9413 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Judith Stevens Bernath · Rich | 130 Vining Hill Rd, Southwick, MA 01077 | Licensed Practical Nurse | 2013-11-01 ~ 2014-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Patricia Archer | 136 Vining Hill Rd, Southwick, MA 01077-9413 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Tanya L Dewinkeleer | 185 Vining Hill Rd, Southwick, MA 01077-9413 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Matthew Felix | 163 Vining Hill Rd, Southwick, MA 01077-9413 | Home Improvement Salesperson | 2018-09-20 ~ 2019-11-30 |
| Lailonnie J Keene | 146 Vining Hill Rd, Southwick, MA 01077-9413 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Riley M O'donnell | 139 Vining Hill Rd, Southwick, MA 01077-9413 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Jacqueline M Hebert | 193 Vining Hill Rd, Southwick, MA 01077-9413 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth C Levite | 5 Liquori Drive, Southwick, MA 01077 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Nancy M Psholka | 11 Pearlbrook Rd, Southwick, MA 01077 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Diane M Wolfe | 7 Coes Hill Road, Southwick, MA 01077 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Donna Glembocki | 12 Berkshire Avenue, Southwick, MA 01077 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Donna L Hawkins | 173 Vining Hill Rd, Southwick, MA 01077 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Colleen C Dell | 4 Hillcrest Rd, Southwick, MA 01077 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Alla Burkovskiy | 15 Overlook Lane, Southwick, MA 01077 | Real Estate Salesperson | 2019-12-13 ~ 2020-05-31 |
| Tegan M Kimball | 32 Deer Run, Southwick, MA 01077 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Donna P Davis · Bleau | 10 Gloria Drive, Southwick, MA 01077 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
| Heidi A Kingsley · Card | 13 John Mason Rd., Southwick, MA 01077 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01077 | |||
| City | SOUTHWICK |
| Zip Code | 01077 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SOUTHWICK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alison Poppe | 121 Florida Rd, Somers, CT 06071 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Alison R Joyce | 41 Brewster Rd, Bristol, CT 06010 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Alison Triebwasser | 80 Brookline Ave, Feeding Hills, MA 01030 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Alison L Mcpherson | 127 Joel Drive, Hebron, CT 06248 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Alison M Becker | 40424 N. Marion Drive, Perham, MN 56573 | Physician Assistant | 2004-12-21 ~ 2005-03-31 |
| Alison M Hall Pa-c | 86 Old Colchester Rd Unit 3, Essex Junction, VT 05452-3160 | Physician Assistant | 2012-10-01 ~ 2013-09-30 |
| Alison Lare Fife | 20 Hopmeadow St Unit 326, Weatogue, CT 06089-7932 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Alison Ann Robb | 77 North Water Street, Norwalk, CT 06854 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Alison Laventure | 66 Fabyan Woodstock Road, Fabyan, CT 06255 | Physician Assistant | 2008-02-14 ~ 2008-11-30 |
| Lauren Johnson | 9356 Nw 8th Circle, Plantation, FL 33324 | Physician Assistant | ~ |
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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).