DEIRDRE CANNON (Credential# 743575) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DEIRDRE CANNON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001826. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 160 Hawley Ln, Trumbull, CT 06611-5300. The current status is active.
| Licensee Name | DEIRDRE CANNON |
| Credential ID | 743575 |
| Credential Number | 23.001826 |
| Credential Type | Physician Assistant |
| Business Address |
160 Hawley Ln Trumbull CT 06611-5300 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-09-29 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 454187 | CSP.0040825 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 385561 | PTN.0006943 | PHARMACY TECHNICIAN | 2004-10-04 | 2006-04-26 - 2007-03-31 | INACTIVE |
| Street Address | 160 HAWLEY LN |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-5300 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeremy D Kaufman Md | 160 Hawley Ln, Trumbull, CT 06611-5300 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Edward B Paraiso II | 160 Hawley Ln, Trumbull, CT 06611-5300 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicholas A Viner Md | 160 Hawley Ln, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Howard L Zuckerman Md | 160 Hawley Ln, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen Debra Matteson | 160 Hawley Ln, Trumbull, CT 06611-5300 | Physician Assistant | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deirdre E Coyne | 29 Coolridge Rd., Milford, CT 06460 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Deirdre Summa | 935 Newgate Rd., West Suffield, CT 06093 | Family Child Care Assistant | 1996-05-31 ~ 1996-05-31 |
| Deirdre F Blacker | 76 Larson Avenue, Cheshire, CT 06410 | Family Child Care Assistant | 2002-08-31 ~ 2002-08-31 |
| Cannon Wines Ltd | 1045 Sansome St Ste 110, San Francisco, CA 94111-1313 | Out of State Shipper Liquor | 2019-09-17 ~ 2020-09-16 |
| Shaun M Cannon | 49 Francis St., Worcester, MA 01606 | Occupational Therapist Assistant | 1999-10-20 ~ 2001-07-31 |
| Niasia Monique Walker | 26 Cannon Rd, East Hartford, CT 06108-2805 | Family Child Care Assistant | ~ |
| Deirdre Schorman Do | 38 East Ave, New Canaan, CT 06840 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Midwest of Cannon Falls | 32057 64th Ave S, Cannon Falls, MN 55009 | Manufacturer of Bedding & Upholstered Furniture | 2002-05-01 ~ 2003-04-30 |
| Midwest of Cannon Falls Inc | 32057 64th Ave S, Cannon Falls, MN 55009 | Manufacturer of Bedding & Upholstered Furniture | 2003-05-01 ~ 2004-04-30 |
| Deirdre B Williams | 58 Westport Road, Wilton, CT 06897 | Naturopathic Physician | 2008-10-22 ~ 2009-12-31 |
Please comment or provide details below to improve the information on DEIRDRE CANNON.
| 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).