KYLEE SONDERGAARD (Credential# 743666) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2011. The license expiration date date is May 31, 2012. The license status is INACTIVE.
KYLEE SONDERGAARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001917. The credential type is physician assistant. The effective date is June 1, 2011. The expiration date is May 31, 2012. The business address is 129 York St Apt 7h, New Haven, CT 06511-5606. The current status is inactive.
| Licensee Name | KYLEE SONDERGAARD |
| Credential ID | 743666 |
| Credential Number | 23.001917 |
| Credential Type | Physician Assistant |
| Business Address |
129 York St Apt 7h New Haven CT 06511-5606 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-06-26 |
| Effective Date | 2011-06-01 |
| Expiration Date | 2012-05-31 |
| Refresh Date | 2012-09-04 |
| Street Address | 129 YORK ST APT 7H |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell Shepherd Lewis, Jr. | 129 York St Apt 7h, New Haven, CT 06511-5606 | Resident Physician | 2019-07-03 ~ 2021-06-30 |
| Kylee Sondergaard Pa | 129 York St Apt 7h, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Dan Sodano | 129 York St Apt 7h, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Jeannie Rethana | 129 York St Apt 7l, New Haven, CT 06511-5606 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Aladine Abdalla Elsamadicy | 129 York St Apt 8j, New Haven, CT 06511-5606 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Habib Mujib Khan | 129 York St Apt 7j, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joshua Keais Pope | 129 York St Apt 7a, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gary Cardoso | 129 York St Apt 7d, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lori J Ellis | 129 York St Apt 8a, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Robert R Turelli Jr. | 129 York St Apt 7m, New Haven, CT 06511-5606 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Kevin P Fitzmartin | 129 York St Apt 7a, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kylee Sondergaard Pa | 129 York St Apt 7h, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kylee Richmond | 385 W Main St, Avon, CT 06001-4357 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kylee A Violette | 39 Farmington Ave Unit C2, Plainville, CT 06062-1775 | Physical Therapist Assistant | 2020-09-01 ~ 2021-08-31 |
| Michael A Mahlon | 7539 Kylee Ln Se, Olympia, WA 98501-5118 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Wagn A Sondergaard Jr | 2724 12 Street North, Naples, FL 33940 | Physical Therapist | 1997-11-28 ~ 1998-12-31 |
| Karen Sondergaard Md | 85 Old Kings Hwy N, Darien, CT 06820-4732 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Inger Sondergaard | 104 Middlebrook Rd, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| 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 |
| Kylee A Brouillard | 65 Cameron Dr, Bristol, CT 06010-9449 | Radiographer | 2016-06-01 ~ 2017-05-31 |
Please comment or provide details below to improve the information on KYLEE SONDERGAARD.
| 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).