ALLYSON L FORSYTH PA (Credential# 951963) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ALLYSON L FORSYTH PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002467. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 22 Beach Rd, East Haddam, CT 06423-1264. The current status is active.
| Licensee Name | ALLYSON L FORSYTH PA |
| Credential ID | 951963 |
| Credential Number | 23.002467 |
| Credential Type | Physician Assistant |
| Business Address |
22 Beach Rd East Haddam CT 06423-1264 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-09-15 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 986201 | CSP.0049675 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 22 BEACH RD |
| City | EAST HADDAM |
| State | CT |
| Zip Code | 06423-1264 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Audrey H Kyle-oates | P O Box 23, East Haddam, CT 06423 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Roy Rogers | 18 Cove Road, East Haddam, CT 06423 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Allison L Cappitella Aprn | 31 Bogue Lane, East Haddam, CT 06423 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Staehly Farm Winery | 274-278 Town St, East Haddam, CT 06423 | Farmer's Market Permit | 2020-05-30 ~ 2021-05-29 |
| Gail Smoloski-heil · Smoloski | 155 Parker Road, East Haddam, CT 06423 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| J. Christopher Backes | 55 Main Street, East Haddam, CT 06423 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Rachael Finch | 342 Mt. Parnassus Road, East Haddam, CT 06423 | Medication Administration Certification | ~ |
| Change A Life Dog Rescue, Inc. · N/a | 9 Ridge Road, East Haddam, CT 06423 | Public Charity | 2020-06-11 ~ 2021-11-30 |
| George Fellner | P.o. Box 115, East Haddam, CT 06423 | Architect | 2020-08-01 ~ 2021-07-31 |
| Maureen K Goff | 180 Daniel Peck Rd, East Haddam, CT 06423 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
| Find all Licenses in zip 06423 | |||
| City | EAST HADDAM |
| Zip Code | 06423 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + EAST HADDAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allyson Stein | 17 Dekalb Ave Apt 101, White Plains, NY 10605-6445 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Allyson Cromwell | 146 W. Boad St., Stamford, CT 06902 | Physical Therapist Assistant | ~ 2006-11-01 |
| Allyson Portnoy | 162 Harold Ave., Derby, CT 06418 | Family Child Care Assistant | 1999-05-31 ~ 1999-05-31 |
| Allyson Mcdermott | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Allyson Driggers Md | 267 Grant St, Bridgeport, CT 06610 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Allyson L Rovetto Md | 19 Cambridge Dr, Prospect, CT 06712-1571 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Allyson N Duffy Md | 4 Greensview Drive, W Hartford, CT 06107 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Peter A Forsyth | Tom Baker Cancer Ct, Calgary Alberta, T2N 4N2 | Physician/surgeon | 1981-01-01 ~ 1994-02-28 |
| Allyson Parnes | 32 Strawberry Hill Court, Stamford, CT 06902 | Physician/surgeon | 2015-11-01 ~ 2016-10-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
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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).