REBECCA A BUNNELL (Credential# 743227) 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.
REBECCA A BUNNELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001478. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 4610 Learned Sage, Ellicott City, MD 21042. The current status is active.
| Licensee Name | REBECCA A BUNNELL |
| Credential ID | 743227 |
| Credential Number | 23.001478 |
| Credential Type | Physician Assistant |
| Business Address |
4610 Learned Sage Ellicott City MD 21042 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-06-08 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-23 |
| Street Address | 4610 Learned Sage |
| City | Ellicott City |
| State | MD |
| Zip Code | 21042 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca A Bunnell Pa | 4610 Learned Sage, Ellicott City, MD 21042-5932 | Controlled Substance Registration for Practitioner | 2008-03-04 ~ 2009-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marilyn L Koza | 2280 Ballard Way, Ellicott City, MD 21042 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara Case | 9359 Duff Court, Ellicott City, MD 21042 | Registered Nurse | 2020-02-27 ~ 2020-12-31 |
| Jason P Bashura | 3114 Ramblewood Rd, Ellicott City, MD 21042 | Registered Sanitarian | 2020-01-01 ~ 2020-12-31 |
| Mahalingam Balakrishnan | 9909 Carrigan Drive, Ellicott City, MD 21042 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Grace Yeon Son | 3809 Portman Place, Ellicott City, MD 21042 | Speech and Language Pathologist | ~ |
| Heather K Dull | 4269 Buckskinwood Dr, Ellicott City, MD 21042 | Real Estate Salesperson | 2007-06-01 ~ 2008-05-31 |
| Michael J Steinberg | 4760 Leyden Way, Ellicott City, MD 21042 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| William H Allen | 10310 Cromwell Ct, Ellicott City, MD 21042 | Professional Engineer | 1997-07-02 ~ 1998-01-31 |
| Manol Andonyadis | 4747 Hallowed Stream, Ellicott City, MD 21042 | Professional Engineer | 1800-12-27 ~ 1994-01-31 |
| Zhen Mo | 9257 Marydell Road, Ellicott City, MD 21042 | Acupuncturist | 2013-01-01 ~ 2014-12-31 |
| Find all Licenses in zip 21042 | |||
| City | Ellicott City |
| Zip Code | 21042 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Ellicott City |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca Wong | 61-17 231st, Bayside, NY 11364 | Physician Assistant | ~ |
| Rebecca E Holberg Pa | 55 Nye Road, Glastonbury, CT 06033 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Rebecca R Scarano | 102 Dinsorette Ln, Apex, NC 27539-9032 | Physician Assistant | 2018-11-01 ~ 2019-10-31 |
| Rebecca L Hill | 341 Hudson Ave, Beacon, NY 12508-3621 | Physician Assistant | 2017-03-01 ~ 2018-02-28 |
| Rebecca D Jeffery | 28 Far Horizon Dr, Cheshire, CT 06410-2812 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Rebecca J Brandenburg Pa | 274 Noble St, West Haven, CT 06156 | Physician Assistant | 2008-03-14 ~ 2009-04-30 |
| Rebecca O'neill | 3 Wessels Place, Greenwich, CT 06830 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Rebecca S Karlowicz | 16 Woodmont Cir, East Haddam, CT 06423-1565 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Rebecca Press | 17 Pepperbush Lane, Glastonbury, CT 06033 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Rebecca L Katkocin | 2 Byebrook Court, New Fairfield, CT 06812 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on REBECCA A BUNNELL.
| 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).