CHRISTIN M WOLAK (Credential# 970241) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHRISTIN M WOLAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002510. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 98 Fieldstone Drive, Tolland, CT 06084. The current status is active.
Licensee Name | CHRISTIN M WOLAK |
Credential ID | 970241 |
Credential Number | 23.002510 |
Credential Type | Physician Assistant |
Business Address |
98 Fieldstone Drive Tolland CT 06084 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2010-10-21 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-12-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
973207 | CSP.0049246 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-11-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 98 Fieldstone Drive |
City | Tolland |
State | CT |
Zip Code | 06084 |
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 |
---|---|---|---|
Christin M Giordano | 9459 Dowden Rd #2209, Orlando, FL 32832 | Physician Assistant | 2013-06-03 ~ 2014-06-30 |
Nicole-christin Huynh Dujon | 7 Carol Rd, West Hartford, CT 06110-1204 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Steven J Wolak | 98 Fieldstone Dr, Tolland, CT 06084-2846 | Physical Therapist Assistant | 2019-09-01 ~ 2020-08-31 |
Wolak Construction LLC | 2 Evergreen Rd, Cromwell, CT 06416-1614 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Christin L Ross-espinal | 426 Long Mountain Rd, New Milford, CT 06776-4825 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
Anne Wolak Garden Design LLC | 1158 Saybrook Rd, Haddam, CT 06438-1311 | Home Improvement Contractor | 2013-12-01 ~ 2014-11-30 |
T Bautista Mercurey Marie Christin | Connecticut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2018-07-24 ~ 2021-07-23 |
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 |
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 |
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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).