STEPHANIE A MCKINNEY
Physician Assistant


Address: 423 E 83rd St Apt 3b, New York, NY 10028-5520

STEPHANIE A MCKINNEY (Credential# 743897) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2011. The license expiration date date is September 30, 2012. The license status is INACTIVE.

Business Overview

STEPHANIE A MCKINNEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002148. The credential type is physician assistant. The effective date is October 1, 2011. The expiration date is September 30, 2012. The business address is 423 E 83rd St Apt 3b, New York, NY 10028-5520. The current status is inactive.

Basic Information

Licensee Name STEPHANIE A MCKINNEY
Credential ID 743897
Credential Number 23.002148
Credential Type Physician Assistant
Business Address 423 E 83rd St Apt 3b
New York
NY 10028-5520
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-09-02
Effective Date 2011-10-01
Expiration Date 2012-09-30
Refresh Date 2013-01-07

Office Location

Street Address 423 E 83RD ST APT 3B
City NEW YORK
State NY
Zip Code 10028-5520

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Olivia Z Hutchinson 121a East 83rd Street, New York, NY 10028 Physician/surgeon 2020-06-01 ~ 2021-05-31
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Competitor

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City NEW YORK
Zip Code 10028
License Type Physician Assistant
License Type + County Physician Assistant + NEW YORK

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Dataset Information

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).

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