PAMELA N WARREN (Credential# 743872) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PAMELA N WARREN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002123. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 56 Franklin Street, Waterbury, CT 06705. The current status is active.
| Licensee Name | PAMELA N WARREN |
| Credential ID | 743872 |
| Credential Number | 23.002123 |
| Credential Type | Physician Assistant |
| Business Address |
56 Franklin Street Waterbury CT 06705 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-07-22 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 508714 | CSP.0043925 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-07-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 56 FRANKLIN STREET |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas Druar | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2019-07-01 ~ 2025-06-30 |
| Bethel Girma Shiferaw | 56 Franklin Street, Waterbury, CT 06706 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Virginia Parker | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Fnu Sidra | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Abdul Haseeb | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Sanum Munir | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Vinod Kumar | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Ahmed Kazi | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Karl Hellstrand | 56 Franklin Street, Waterbury, CT 06706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ariel G Ong | 56 Franklin Street, Waterbury, CT 06706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy L Gonzalez | 141 Decicco Road, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Cara Anne Mahony | 80 Craigie Ave, Waterbury, CT 06705 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jocelyn Dennise Garcia | 38 Stonewall Lane, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Rosa Tenezaca | 24 Wall St Apt 1st, Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Spinella Bakery | 53 Interstate Lane, Waterbury, CT 06705 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Penelope Ortiz | 42 Gayridge Rd Apt 3-1, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Sandra Arias | 57 Howard St., Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Waldemar Lopes | 10 Mansfield Ave, Waterbury, CT 06705 | Medication Administration Certification | 2020-05-16 ~ 2022-05-15 |
| Briana Yvette Hurdle | 235 Academy Avenue, Waterbury, CT 06705 | Esthetician | ~ |
| Jason Bradway | 93 Midland Road, Waterbury, CT 06705 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06705 | |||
| City | WATERBURY |
| Zip Code | 06705 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan D Olson Pa | 18 Warren Drive, Seymour, CT 06483 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Timothy A Wright | 42 Warren Street, Cheshire, CT 06410 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Pamela A Lambert Pa-c | 77 Prospect St Apt T6, Stamford, CT 06901-1606 | Physician Assistant | 2010-05-01 ~ 2011-04-30 |
| Anne Elizabeth Carlson | 47 Sunset Lake Rd, Warren, CT 06754-1701 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Pamela R Fanning Pa | 7 Whitney Street, Westport, CT 06880 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Pamela A Brewster Pa | 1140 Marion St Apt #3, Denver, CO 80218 | Physician Assistant | 2008-11-03 ~ 2009-08-31 |
| Pamela L Frappier | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074-5560 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Pamela A Whibby | 4204 Dewfield Drive, Wilson, NC 27896 | Physician Assistant | 2015-02-01 ~ 2016-01-31 |
| Pamela Jackson | 120 Park Lane Road, New Milford, CT 06776 | Physician Assistant | 2020-05-24 ~ 2021-01-31 |
| Pamela J Condon | Integrated Anesthesia Associates, Hartford, CT 06106 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on PAMELA N WARREN.
| 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).