MEREDITH L CRONIN
Physician Assistant


Address: 180 S Middle Neck Road, #2s, Great Neck, NY 11021

MEREDITH L CRONIN (Credential# 743564) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2017. The license expiration date date is August 31, 2018. The license status is INACTIVE.

Business Overview

MEREDITH L CRONIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001815. The credential type is physician assistant. The effective date is September 1, 2017. The expiration date is August 31, 2018. The business address is 180 S Middle Neck Road, #2s, Great Neck, NY 11021. The current status is inactive.

Basic Information

Licensee Name MEREDITH L CRONIN
Credential ID 743564
Credential Number 23.001815
Credential Type Physician Assistant
Business Address 180 S Middle Neck Road, #2s
Great Neck
NY 11021
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-09-19
Effective Date 2017-09-01
Expiration Date 2018-08-31
Refresh Date 2018-12-04

Other licenses

ID Credential Code Credential Type Issue Term Status
453457 CSP.0040788 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-10-19 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 180 S Middle Neck Road, #2S
City Great Neck
State NY
Zip Code 11021

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Competitor

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City Great Neck
Zip Code 11021
License Type Physician Assistant
License Type + County Physician Assistant + Great Neck

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Dataset Information

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).

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