ROBIN ROSE PA-C (Credential# 743374) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ROBIN ROSE PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001625. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 36 Lincoln St, North Haven, CT 06473. The current status is active.
| Licensee Name | ROBIN ROSE PA-C |
| Credential ID | 743374 |
| Credential Number | 23.001625 |
| Credential Type | Physician Assistant |
| Business Address |
36 Lincoln St North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-04-21 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 498523 | CSP.0043291 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-04-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 404525 | CSP.0037453 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-05-09 | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 36 Lincoln St |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robin J Vogel | 45 Northford Rd, Wallingford, CT 06492 | Physician Assistant | 1995-03-14 ~ 1996-03-31 |
| Jessica R Albrycht | 12 Robin Rd, Glastonbury, CT 06033-3256 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Robin Forman Rose | 195 Danbury Rd, Wilton, CT 06897-4075 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Robin Ashley | 15 Greenfield Court, New Milford, CT 06776 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Robin J Smith | 33 Cortland St, West Hartford, CT 06110-1405 | Physician Assistant | 2014-11-01 ~ 2015-10-31 |
| Frank M Mackey | 10 Robin Road, Plainfield, CT 06374 | Physician Assistant | 2012-06-01 ~ 2013-05-31 |
| Robin J Stern | 65 Woodland Rd., Woodcliff Lake, NJ 07677 | Physician Assistant | 2002-11-06 ~ 2003-10-31 |
| Robin M Hansford | 58 Leonard St Unit 202, Meriden, CT 06451-6002 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Robin Hare | 40 Mountain Brook Rd, North Haven, CT 06473 | Physician Assistant | 1996-06-14 ~ 1997-07-31 |
| Robin Weems | 38 Sasco Hill Terr, Fairfield, CT 06430 | Physician Assistant | 1994-12-13 ~ 1995-12-31 |
Please comment or provide details below to improve the information on ROBIN ROSE PA-C.
| 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).