TAMMY D GAINES PA (Credential# 743441) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2018. The license expiration date date is July 31, 2019. The license status is INACTIVE.
TAMMY D GAINES PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001692. The credential type is physician assistant. The effective date is August 1, 2018. The expiration date is July 31, 2019. The business address is 1 Summer Brook Ln, Cromwell, CT 06416-2449. The current status is inactive.
| Licensee Name | TAMMY D GAINES PA |
| Credential ID | 743441 |
| Credential Number | 23.001692 |
| Credential Type | Physician Assistant |
| Business Address |
1 Summer Brook Ln Cromwell CT 06416-2449 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-10-04 |
| Effective Date | 2018-08-01 |
| Expiration Date | 2019-07-31 |
| Refresh Date | 2019-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 419857 | CSP.0038480 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-10-25 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 1 SUMMER BROOK LN |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-2449 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cornell Art Construction, LLC | 5 Summer Brook Ln, Cromwell, CT 06416-2449 | Lead Abatement Contractor | 2020-02-26 ~ 2021-02-28 |
| James J. Ocampo | 6 Summer Brook Ln, Cromwell, CT 06416-2449 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cornell Art Construction LLC | 5 Summer Brook Ln, Cromwell, CT 06416-2449 | Home Improvement Contractor | 2020-01-28 ~ 2020-11-30 |
| Luis R Soto | 5 Summer Brook Ln, Cromwell, CT 06416-2449 | Lead Abatement Supervisor | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | CROMWELL |
| Zip Code | 06416 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + CROMWELL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond Gaines Sr · Gaines Construction Co Inc | 1164 Sport Hill Rd, Easton, CT 06612 | Home Improvement Contractor | 1995-11-20 ~ 1996-11-30 |
| Tammy Gendron | 133 Tuckie Rd, North Windham, CT 06256-1317 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Gaines Construction Co Inc | 32 Berwick Ct # A, Fairfield, CT 06825-5505 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Victor D Gaines Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gaines Manufacturing Company | 301 N Highland Dr, Mckenzie, TN 38201 | Manufacturer of Bedding & Upholstered Furniture | 1994-02-14 ~ 1995-02-14 |
| Taylor & Gaines | Professional Engineer | 1986-02-07 ~ 1987-01-31 | |
| J David Gaines | 1395 Plaza Pacifica, Santa Barbara, CA 93108-2879 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Gaines Construction Co Inc | 32a Berwick Ct, Fairfield, CT 06825-5505 | New Home Construction Contractor | 2011-10-01 ~ 2013-09-30 |
| Gaines Quality Repairs & More LLC | 32 Berwick Ct # A, Fairfield, CT 06825-5505 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Tammy L Anderson | 212 Bishop Rd, Bozrah, CT 06334-1507 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on TAMMY D GAINES 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).