KYLA B REDWOOD (Credential# 743725) 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.
KYLA B REDWOOD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001976. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1201 Cornerstone Court, Cheshire, CT 06410. The current status is active.
Licensee Name | KYLA B REDWOOD |
Credential ID | 743725 |
Credential Number | 23.001976 |
Credential Type | Physician Assistant |
Business Address |
1201 Cornerstone Court Cheshire CT 06410 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2007-09-28 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1498123 | CSP.0067603 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-03-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
485747 | CSP.0042757 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-10-25 | 2008-03-01 - 2009-02-28 | INACTIVE |
843384 | 70.003651 | Emergency Medical Technician | 2003-06-18 | 2003-06-18 - 2005-03-31 | INACTIVE |
Street Address | 1201 Cornerstone Court |
City | Cheshire |
State | CT |
Zip Code | 06410 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
Find all Licenses in zip 06410 |
City | Cheshire |
Zip Code | 06410 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Cheshire |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
M Teresa Gonzalez-byrd | 75 Redwood Drive, East Haven, CT 06513 | Physician Assistant | 2000-10-24 ~ 2001-12-31 |
Kyla L Kissinger | 9 Deer Run, Marlborough, CT 06447-1128 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Kyla Danielle Hoeflinger | 3905 Sylvanwood Dr, Sylvania, OH 43560 | Physical Therapist Assistant | 2017-05-01 ~ 2018-04-30 |
Kyla Adams | 59 Oxoboxo Cross Rd, Oakdale, CT 06370 | Family Child Care Assistant | 1995-11-30 ~ 1995-11-30 |
Redwood In The Round Inc | 1007 Post Rd East, Westport, CT 06880 | Home Improvement Contractor | ~ 1997-11-30 |
Redwood Drive | 54 Redwood Drive, Bethel, CT 06801 | Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
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 |
James M Donnelly · The Redwood Co | 65 Old Newtown Road, Monroe, CT 06468 | Home Improvement Contractor | 2005-02-14 ~ 2005-02-28 |
Arthur Baca | 505 Penobscot Dr, Redwood City, CA 94063-4737 | Physician/surgeon | ~ |
Bruno Gerstl | 485 Woodside Rd, Redwood City, CA 94061 | Physician/surgeon | 1992-07-23 ~ 1993-04-30 |
Please comment or provide details below to improve the information on KYLA B REDWOOD.
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).