MATTHEW A SLEBODA (Credential# 743997) 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.
MATTHEW A SLEBODA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002248. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 5 Finn Ln, Plainfield, CT 06374-2062. The current status is active.
| Licensee Name | MATTHEW A SLEBODA |
| Credential ID | 743997 |
| Credential Number | 23.002248 |
| Credential Type | Physician Assistant |
| Business Address |
5 Finn Ln Plainfield CT 06374-2062 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-04-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 530007 | CSP.0045365 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-04-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 843414 | 70.003681 | Emergency Medical Technician | 2003-06-18 | 2005-09-15 - 2007-06-30 | INACTIVE |
| Street Address | 5 FINN LN |
| City | PLAINFIELD |
| State | CT |
| Zip Code | 06374-2062 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly A Schroth | 21 Lovers Ln, Plainfield, CT 06374 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Amy E Therrien | 416 Starkweather Road, Plainfield, CT 06374 | Real Estate Salesperson | ~ |
| Janis Mcmaster | 262 Pickett Rd, Plainfield, CT 06374 | Respiratory Care Practitioner | 2020-07-01 ~ 2021-06-30 |
| Todd Lepine | 9 Lori Drive, Plainfield, CT 06374 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Claire R Desrosiers | 36 Toper Road, Plainfield, CT 06374 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Bakers Dozen of Plainfield LLC · Bakers Dozen of Plnfld Db | 767 Norwich Rd, Plainfield, CT 06374 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kristen Malbaurn | 144 Plainfield Pike, Plainfield, CT 06374 | Medication Administration Certification | 2018-06-18 ~ 2020-06-17 |
| Subway 56447 | 1-395 Plainfield Service Pza Sb, Plainfield, CT 06374 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Subway 56446 | 1-395 Plainfield Service Plaza N B, Plainfield, CT 06374 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Josephine A Maben | 24 North Street, Plainfield, CT 06374 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06374 | |||
| City | PLAINFIELD |
| Zip Code | 06374 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + PLAINFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew W. Musco Pa-c | 132 Clearfield Rd, Wethersfield, CT 06109 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Matthew T Mitchell Pa | 118 Osborne St Apt 1c, Danbury, CT 06810 | Physician Assistant | 2004-11-01 ~ 2005-10-31 |
| Matthew E. Milstein | Psc 475 Box 1315, Fpo Yokohama, 96350 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Matthew J Moore | 55 Langdon Ct, Berlin, CT 06037-1316 | Physician Assistant | 2019-02-01 ~ 2020-01-31 |
| Matthew Champeau Pa | 234 Spielman Hwy, Burlington, CT 06013-2010 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Matthew D Nankin | 138 Fair St, Wallingford, CT 06492-4210 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Matthew Wieland | 59 Maitland Rd, Stamford, CT 06906-2104 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Matthew C Singleton Pa-c | 41 Rochela Dr, Southington, CT 06489-4670 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
| Matthew A Bouteiller Pa | 50 Union St Apt 9, Northampton, MA 01060-3254 | Physician Assistant | 2012-11-01 ~ 2013-10-31 |
| Matthew M Faucher | 26 Hawthorne Pl, North Andover, MA 01845-4205 | Physician Assistant | ~ |
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| 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).