MATTHEW CHAMPEAU PA (Credential# 743439) 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.
MATTHEW CHAMPEAU PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001690. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 234 Spielman Hwy, Burlington, CT 06013-2010. The current status is active.
| Licensee Name | MATTHEW CHAMPEAU PA |
| Credential ID | 743439 |
| Credential Number | 23.001690 |
| Credential Type | Physician Assistant |
| Business Address |
234 Spielman Hwy Burlington CT 06013-2010 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-10-04 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 412155 | CSP.0037891 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-10-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 144710 | PTN.0000639 | PHARMACY TECHNICIAN | 2005-04-01 - 2006-03-31 | INACTIVE | |
| 841462 | 70.001728 | Emergency Medical Technician | 2001-07-25 | 2003-04-02 - 2005-03-31 | INACTIVE |
| Street Address | 234 Spielman Hwy |
| City | BURLINGTON |
| State | CT |
| Zip Code | 06013-2010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian T. Pyrzenski | 234 Spielman Hwy, Burlington, CT 06013 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Penny J Keppler | 234 Spielman Hwy, Burlington, CT 06013 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Obrizzo | 81 W Side Blvd, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gwendolyn A Nowacki | 16 Village Ln, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erinne P Houton | 298 Jerome Ave, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Subway of Burlington | 292 Spielman Hwy, Burlington, CT 06013 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Aneta Gurtowsky | 2 West Ledge Road, Burlington, CT 06013 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Maria L Main | 79 Pine Hill Road, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven T Miles | 26 Angelas Way, Burlington, CT 06013 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Sally A Larsen | 515 Jerome Avenue, Burlington, CT 06013 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Barbara C Grindal | 118 Punch Brook Rd, Burlington, CT 06013 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Insu Kim | 48 Monce Rd, Burlington, CT 06013 | Nail Technician | 2020-06-18 ~ 2022-04-30 |
| Find all Licenses in zip 06013 | |||
| City | BURLINGTON |
| Zip Code | 06013 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BURLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Corey A Champeau Pa | 40 Westmont Rd, Avon, CT 06001 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Matthew Wieland | 59 Maitland Rd, Stamford, CT 06906-2104 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Matthew D Nankin | 138 Fair St, Wallingford, CT 06492-4210 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Matthew E. Milstein | Psc 475 Box 1315, Fpo Yokohama, 96350 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Matthew J Moore | 55 Langdon Ct, Berlin, CT 06037-1316 | Physician Assistant | 2019-02-01 ~ 2020-01-31 |
| Matthew T Mitchell Pa | 118 Osborne St Apt 1c, Danbury, CT 06810 | Physician Assistant | 2004-11-01 ~ 2005-10-31 |
| Matthew W. Musco Pa-c | 132 Clearfield Rd, Wethersfield, CT 06109 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Matthew C Singleton Pa-c | 41 Rochela Dr, Southington, CT 06489-4670 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
| Matthew A Sleboda | 5 Finn Ln, Plainfield, CT 06374-2062 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Matthew A Bouteiller Pa | 50 Union St Apt 9, Northampton, MA 01060-3254 | Physician Assistant | 2012-11-01 ~ 2013-10-31 |
Please comment or provide details below to improve the information on MATTHEW CHAMPEAU 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).