IVY I AMADIN (Credential# 743619) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 14, 2006. The license expiration date date is October 31, 2007. The license status is INACTIVE.
IVY I AMADIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001870. The credential type is physician assistant. The effective date is December 14, 2006. The expiration date is October 31, 2007. The business address is 40 Prospect Avenue, Norwalk, CT 068520. The current status is inactive.
| Licensee Name | IVY I AMADIN |
| Credential ID | 743619 |
| Credential Number | 23.001870 |
| Credential Type | Physician Assistant |
| Business Address |
40 Prospect Avenue Norwalk CT 068520 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-12-14 |
| Effective Date | 2006-12-14 |
| Expiration Date | 2007-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 40 Prospect Avenue |
| City | Norwalk |
| State | CT |
| Zip Code | 068520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Irene H Yang | 40 Prospect Avenue, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Anil Achaen Md | 40 Prospect Avenue, Norwalk, CT 06850 | Physician/surgeon | 2007-01-23 ~ 2008-02-29 |
| Jennifer L Caserta | 40 Prospect Avenue, Norwalk, CT 06850 | Physician Assistant | 2006-11-27 ~ 2007-11-30 |
| Feras M Bader | 40 Prospect Avenue, Norwalk, CT 06850 | Physician/surgeon | 2002-10-17 ~ 2003-04-30 |
| Ruiyong Yuan Md | 40 Prospect Avenue, Norwalk, CT 06856 | Physician/surgeon | 2002-04-30 ~ 2003-02-28 |
| Felina Penacerrada | 40 Prospect Avenue, Norwalk, CT 06850 | Registered Nurse | 2000-08-02 ~ 2001-08-31 |
| James Ming Fang Md | 40 Prospect Avenue, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Joanne D Ross | 40 Prospect Avenue, Norwalk, CT 06850 | Registered Nurse | 1997-03-13 ~ 1998-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shawn S Murphy | 12 New Canaan Ave, Norwalk, CT 06852 | Cross Connection Survey Inspector | 2020-03-05 ~ 2022-12-31 |
| Anna Alatsas · Ambrosia Bar & Grill | 16 River Street, Norwalk, CT 06852 | Restaurant Liquor | 2010-04-10 ~ 2011-04-09 |
| Betancourt Sealcoating & Crack Filler LLC | 45 Adams Ave Apt B, Norwalk, CT 06852 | Home Improvement Contractor | 2020-06-04 ~ 2020-11-30 |
| Thomas C Santaniello Dmd | 16 River St, Norwalk, CT 06852 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Michael O'neill · O'neills Pub | 93 North Main St, Norwalk, CT 06852 | Cafe Liquor | 2019-07-28 ~ 2020-11-27 |
| King Industries Inc. · King Industries, Inc. | 1 Science Road, Norwalk, CT 06852 | Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-04-03 ~ 2021-06-30 |
| Lauren M Mappa | 12 New Canaan Ave., P.o. Box 27, Norwalk, CT 06852 | Distribution System Operator - Class II | 2017-06-26 ~ 2019-09-30 |
| Myrta M Taylor | 30 Marlborough Road, Norwalk, CT 06852 | Tax Preparer/facilitator Permit | 2020-01-05 ~ 2022-01-31 |
| Steven C Letterle · Stop & Shop Supermarket | 449 Connecticut Avenue, Norwalk, CT 06852 | Grocery Beer | 2020-02-04 ~ 2021-02-03 |
| Mm Restoration LLC | P O Box 230, Norwalk, CT 06852 | Home Improvement Contractor | 2019-12-06 ~ 2020-11-30 |
| Find all Licenses in zip 06852 | |||
| City | Norwalk |
| Zip Code | 06852 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Norwalk |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
| Connecticut Dermatology Physician Assistant Society Inc. | Po Box 847, Manchester, CT 06045 | Public Charity-exempt From Financial Requirements | ~ |
| Gretchen Treves | Physician One Urgent Care, Brookfield, CT 06804 | Physician Assistant | ~ |
| Suechu Eng Taing | Po Box 304, Rosemead, CA 91770-0304 | Physician Assistant | ~ |
| Mia F Williams | 3 Old Oak Rd, Norwich, CT 06360-1500 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Aja Snow | 12 Rhinebeck Rd, Carmel, NY 10512 | Physician Assistant | ~ |
| James H Brown | 11-c Cos Cob Ave, Cos Cob, CT 06807 | Physician Assistant | 2005-11-15 ~ 2006-11-30 |
| L. Katherine Grasso | Po Box 191, Sudbury, MA 01776-0191 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on IVY I AMADIN.
| 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).