KATHRYN O NETTLETON (Credential# 744026) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
KATHRYN O NETTLETON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002277. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 1 Royce Circle, Storrs, CT 06268. The current status is active.
| Licensee Name | KATHRYN O NETTLETON |
| Credential ID | 744026 |
| Credential Number | 23.002277 |
| Credential Type | Physician Assistant |
| Business Address |
1 Royce Circle Storrs CT 06268 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-07-07 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 894058 | CSP.0046473 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-09-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1 Royce Circle |
| City | Storrs |
| State | CT |
| Zip Code | 06268 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew L Hall | 1 Royce Circle, Storrs, CT 06268 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Pamela A Moore Md | 1 Royce Circle, Storrs, CT 06268 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian P Aruda | 1 Royce Circle, Storrs, CT 06269 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | Storrs |
| Zip Code | 06268 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Storrs |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn Ann Janikas | 76 Yorktown Dr., Springfield, MA 01108 | Physician Assistant | ~ |
| Kathryn Connor | 118 Windwood Way, Mystic, CT 06355-2158 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Kathryn M Gaudino | 100 Highland Ave, Eastchester, NY 10709-3600 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kathryn B Fuss | 515 West Ave Apt 332, Norwalk, CT 06850-4039 | Physician Assistant | 2019-11-15 ~ 2020-11-30 |
| Kathryn Vignati | 22 E Shore Dr, Niantic, CT 06357 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kathryn J Fontwit | 512 Monterey Road #6, Pacifica, CA 94044 | Physician Assistant | 1999-10-15 ~ 2000-10-31 |
| Kathryn M Schwarz | 102 Columbine Drive, Trumbull, CT 06611 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Kathryn Gould Pa | 4a Devine St, North Haven, CT 06473 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kathryn L Infantino | 36 White Farm Rd, Wingdale, NY 12594 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kathryn Marie Lafleur | 20 Northampton Ln Apt A1, Plainville, CT 06062-1245 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KATHRYN O NETTLETON.
| 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).