KATHERIN A SONNEBORN PA (Credential# 968294) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2014. The license expiration date date is March 31, 2015. The license status is INACTIVE.
KATHERIN A SONNEBORN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002511. The credential type is physician assistant. The effective date is April 1, 2014. The expiration date is March 31, 2015. The business address is 170 Metcalf Rd, Tolland, CT 06084-3734. The current status is inactive.
| Licensee Name | KATHERIN A SONNEBORN PA |
| Credential ID | 968294 |
| Credential Number | 23.002511 |
| Credential Type | Physician Assistant |
| Business Address |
170 Metcalf Rd Tolland CT 06084-3734 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-10-21 |
| Effective Date | 2014-04-01 |
| Expiration Date | 2015-03-31 |
| Refresh Date | 2015-07-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 973336 | CSP.0049262 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-10-29 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 170 METCALF RD |
| City | TOLLAND |
| State | CT |
| Zip Code | 06084-3734 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George E Hoffman | 138 Metcalf Rd, Tolland, CT 06084-3734 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| John M Smith | 112 Metcalf Rd, Tolland, CT 06084-3734 | Fire Protection Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janice M Heldmann-o'connell · Heldmann | 18 Thomas Dr, Tolland, CT 06084 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Barbara Ann Stebbins | 18 Midland Drive, Tolland, CT 06084 | Registered Nurse | ~ |
| Carrie Elizabeth Gill | 63 Hill Top Road, Tolland, CT 06084 | Behavior Analyst | ~ |
| Kollas Apple Orchard | 41 New Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Frederick M Daniels Dds | 12 Goose Lane, Tolland, CT 06084 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Pat's Power Equipment LLC | 401 Merrow Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Keri A Johnson | 224 Buff Cap Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Clifford Vernor Dunn, IIi | 44 Birch Hill Dr., Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Aimee Wendy Johnson | 175 South River Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Peter D Staiger Md | David E. Palozej Eyecare Associates, Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06084 | |||
| City | TOLLAND |
| Zip Code | 06084 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + TOLLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy R Sonneborn | 12 Wyndwood Rd, Farmington, CT 06032 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Jeffrey J Sonneborn | 62 Kingswood Rd, West Hartford, CT 06119-1539 | Pharmacy Intern | 2011-09-06 ~ 2014-09-30 |
| Katherin Bear | 1815 Hosp Dr #462, Jackson, MS 39204 | Registered Nurse | 2007-05-21 ~ 2008-07-31 |
| Katherin M Molina · La Esquina | 87 Stillwater Ave, Stamford, CT 06902-4818 | Grocery Beer | 2019-10-19 ~ 2020-10-18 |
| Katherin L Rollins | 211 Loomis St, North Granby, CT 06060-1207 | Tv & Radio Apprentice Electronic Technician | 2012-08-08 ~ 2013-08-31 |
| 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 |
| Katherin E Triveno-pinto · The Flavor Point | 587 Hanover Rd, Meriden, CT 06451-5310 | Restaurant Wine & Beer | 2019-05-11 ~ 2020-09-10 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
| Connecticut Dermatology Physician Assistant Society Inc. | Po Box 847, Manchester, CT 06045 | Public Charity-exempt From Financial Requirements | ~ |
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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).