LYNN M FAIRCHILD (Credential# 743436) 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.
LYNN M FAIRCHILD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001687. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 122 Atwater Rd, Canton, CT 06019. The current status is active.
Licensee Name | LYNN M FAIRCHILD |
Credential ID | 743436 |
Credential Number | 23.001687 |
Credential Type | Physician Assistant |
Business Address |
122 Atwater Rd Canton CT 06019 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2005-09-26 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-30 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
414920 | CSP.0038238 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-09-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 122 ATWATER RD |
City | CANTON |
State | CT |
Zip Code | 06019 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06019 |
City | CANTON |
Zip Code | 06019 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + CANTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lynn T Tran Pa | 34-43 57 Street, Woodside, NY 11377 | Physician Assistant | 2019-04-01 ~ 2020-03-31 |
Lynn M Hall | 722 Vauxhall St Ext, Waterford, CT 06385 | Physician Assistant | 1994-02-28 ~ 1995-03-31 |
Lynn M Baylis | 97 Head of Meadow Rd, Newtown, CT 06470 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Katie Lynn Anderson | 15 Wiemes Ct, Waterford, CT 06385 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Lynn Higgins | 2928 Main St, Glastonbury, CT 06033-1007 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Lynn Bujnevicie Larochelle Pa | 174 Tanglewood Dr, Longmeadow, MA 01106-1651 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
Jennifer M Lynn | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | ~ 1999-11-30 |
Katie Lynn Tichenor | 2 Ross Passway, Morris, CT 06763-1300 | Physician Assistant | 2016-11-01 ~ 2017-10-31 |
Meredith Lynn Bourdeau | 305 Columbus Ave, West Harrison, NY 10604 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Anna Lynn Konigsmark | 14 Cottage Place, West Newton, MA 02465 | 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).