STEPHANIE R LEVY PA-C (Credential# 743602) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2010. The license expiration date date is August 31, 2011. The license status is INACTIVE.
STEPHANIE R LEVY PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001853. The credential type is physician assistant. The effective date is September 1, 2010. The expiration date is August 31, 2011. The business address is 30 Amherst Court, Mystic, CT 06355. The current status is inactive.
| Licensee Name | STEPHANIE R LEVY PA-C |
| Credential ID | 743602 |
| Credential Number | 23.001853 |
| Credential Type | Physician Assistant |
| Business Address |
30 Amherst Court Mystic CT 06355 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-11-08 |
| Effective Date | 2010-09-01 |
| Expiration Date | 2011-08-31 |
| Refresh Date | 2011-12-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 459940 | CSP.0041021 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-01-08 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 30 AMHERST COURT |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie D Horn | 30 Amherst Court, Mystic, CT 06355 | Notary Public Appointment | 2015-09-01 ~ 2020-08-31 |
| Colleen Vaughn | 30 Amherst Court, Mystic, CT 06355 | Massage Therapist | 2000-11-27 ~ 2001-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06355 | |||
| City | MYSTIC |
| Zip Code | 06355 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MYSTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie F Behrens | 3 Knollwood Rd, Farmington, CT 06032 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Stephanie B Fridman Pa-c | 39 Beekman St Fl 4, New York, NY 10038-1521 | Physician Assistant | 2012-08-01 ~ 2013-07-31 |
| Stephanie A Mckinney | 423 E 83rd St Apt 3b, New York, NY 10028-5520 | Physician Assistant | 2011-10-01 ~ 2012-09-30 |
| Stephanie Jamie Pham | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
| Stephanie M Lepage Pa | 534 Thrall Ave, Suffield, CT 06078 | Physician Assistant | 2010-08-01 ~ 2011-07-31 |
| Stephanie Chawla | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Stephanie Carroll Pa | 166 Linden St Apt #b-6, New Haven, CT 06511 | Physician Assistant | 2007-08-01 ~ 2008-09-30 |
| Stephanie E Beierle | 12 Dewal Dr, Norwalk, CT 06851-1227 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Stephanie B. Parrillo | 2560 Dixwell Ave Ste 2b, Hamden, CT 06514-1852 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Stephanie L Colella | 170 Still Hill Road, Hamden, CT 06518-1827 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
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| 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).