ADAM R OLSEN PA (Credential# 743212) 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.
ADAM R OLSEN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001463. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 13 Holmes Rd, Ridgefield, CT 06877-4301. The current status is active.
| Licensee Name | ADAM R OLSEN PA |
| Credential ID | 743212 |
| Credential Number | 23.001463 |
| Credential Type | Physician Assistant |
| Business Address |
13 Holmes Rd Ridgefield CT 06877-4301 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-03-08 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 375777 | CSP.0035353 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-07-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 13 HOLMES RD |
| City | RIDGEFIELD |
| State | CT |
| Zip Code | 06877-4301 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samuel W Woodger | 25 Holmes Rd, Ridgefield, CT 06877-4301 | Emergency Medical Technician | 2016-05-31 ~ 2018-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
| Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
| Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
| Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
| Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
| Find all Licenses in zip 06877 | |||
| City | RIDGEFIELD |
| Zip Code | 06877 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + RIDGEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marilyn E Olsen Pa-c | 850 Straits Tpke, Middlebury, CT 06762 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Alyssa Olsen | 19 Moose Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Adam Clements | 543 Abbey Dr, Longmont, CO 80504-2525 | Physician Assistant | ~ |
| Adam J Wiesenthal Pa | 163 Burger Rd, Rhinebeck, NY 12572-2364 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Adam Robert Sokolowski | 35 Sylvia Ct, Plantsville, CT 06479-1322 | Physician Assistant | ~ |
| Adam B. Shain | 1752 Nw Market St # 527, Seattle, WA 98107-5264 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
| Adam P Cadan | 2437 Bedford St Ste 1, Stamford, CT 06905-3919 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Adam R Romanek | 97 Shelley Ave, Port Chester, NY 10573 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Adam C Kelly Pa | 1403 Horizon Way, Manchester, CT 06042 | Physician Assistant | 2008-03-04 ~ 2009-04-30 |
| Adam Lambert | 17 Olsen Dr, Mansfield Center, CT 06250-1124 | Engineer-in-training | 2016-02-02 ~ 2026-02-02 |
Please comment or provide details below to improve the information on ADAM R OLSEN PA.
| 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).