CHRISTINA L MARTINEAU
Physician Assistant


Address: 23 Old Stone Rd, Darien, CT 06820-4419

CHRISTINA L MARTINEAU (Credential# 743596) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.

Business Overview

CHRISTINA L MARTINEAU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001847. The credential type is physician assistant. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 23 Old Stone Rd, Darien, CT 06820-4419. The current status is active.

Basic Information

Licensee Name CHRISTINA L MARTINEAU
Credential ID 743596
Credential Number 23.001847
Credential Type Physician Assistant
Business Address 23 Old Stone Rd
Darien
CT 06820-4419
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2006-10-18
Effective Date 2019-08-01
Expiration Date 2020-07-31
Refresh Date 2019-07-29

Other licenses

ID Credential Code Credential Type Issue Term Status
453307 CSP.0040774 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-10-25 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 23 OLD STONE RD
City DARIEN
State CT
Zip Code 06820-4419

Licenses in the same zip code

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Weining Fu-feng 11 Old Stone Rd, Darien, CT 06820-4419 Audiologist 2020-06-01 ~ 2021-05-31
Harry Douglas Gray 5 Old Stone Rd, Darien, CT 06820-4419 Emergency Medical Technician 2016-11-17 ~ 2019-03-31

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Competitor

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City DARIEN
Zip Code 06820
License Type Physician Assistant
License Type + County Physician Assistant + DARIEN

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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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