SARAH E. FONTAINE (Credential# 943059) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
SARAH E. FONTAINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002419. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 572 Hall Hill Rd, Somers, CT 06071. The current status is active.
| Licensee Name | SARAH E. FONTAINE |
| Credential ID | 943059 |
| Credential Number | 23.002419 |
| Credential Type | Physician Assistant |
| Business Address |
572 Hall Hill Rd Somers CT 06071 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-07-09 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 945282 | CSP.0048277 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-07-30 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 572 Hall Hill Rd |
| City | Somers |
| State | CT |
| Zip Code | 06071 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca's Country Pie | 35 Pinedale Rd, Somers, CT 06071 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Joseph P Grzelak | 36 Pond Circle, Somers, CT 06071 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Susan P Haight | 51 Whisper Woods Drive, Somers, CT 06071 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Alison Poppe | 121 Florida Rd, Somers, CT 06071 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Emily Pruden | 100 Bobolink Ln, Somers, CT 06071 | Registered Nurse | 2020-06-17 ~ 2020-11-30 |
| Matthew D Higgins | 10 Whisper Woods Drive, Somers, CT 06071 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith C Napolitano | 55 White Birch Circle, Somers, CT 06071 | Real Estate Salesperson | ~ |
| Mary Ellen Bickley | 552 Springfield Rd, Somers, CT 06071 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J C Real Estate Group LLC | 3 School St, Somers, CT 06071 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Laurie A Mahon · Wirtalla | 531 Hallhill Rd, Somers, CT 06071 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Find all Licenses in zip 06071 | |||
| City | Somers |
| Zip Code | 06071 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Somers |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah Spring | 277 Academy Dr, Vestal, NY 13850-2447 | Physician Assistant | ~ |
| Sarah B Sullivan Pa-c | 113 Old Stratfield Rd, Fairfield, CT 06825 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Sarah F Pryor | 57 Old Rock Ln, Norwalk, CT 06850-2233 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Sarah R. Bailey | 745 Orange St Apt 203, New Haven, CT 06511-2549 | Physician Assistant | 2010-01-20 ~ 2010-03-31 |
| Sarah J Dolan | 114 Woodland St, Hartford, CT 06105-1208 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Sarah Elizabeth Hill | 211 Park Rd, Oxford, CT 06478-6127 | Physician Assistant | ~ |
| Sarah E Beaudoin | 36 Ladyslipper Ln, Norwich, CT 06360-2659 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Sarah Moore | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician Assistant | 2017-05-01 ~ 2018-04-30 |
| Sarah Ann Newburg | N67 W36773 Hwy K, Oconomowoc, WI 53066 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Danielle Sarah Desmarais | 25 Old Towne Rd, Cheshire, CT 06410-3122 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on SARAH E. FONTAINE.
| 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).