CARTER B VANN
Physician Assistant


Address: 120 Valley Dr, Greenwich, CT 06831-5247

CARTER B VANN (Credential# 996775) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE IN RENEWAL.

Business Overview

CARTER B VANN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002605. The credential type is physician assistant. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 120 Valley Dr, Greenwich, CT 06831-5247. The current status is active in renewal.

Basic Information

Licensee Name CARTER B VANN
Credential ID 996775
Credential Number 23.002605
Credential Type Physician Assistant
Business Address 120 Valley Dr
Greenwich
CT 06831-5247
Business Type INDIVIDUAL
Status ACTIVE IN RENEWAL - CURRENT
Active 1
Issue Date 2011-07-26
Effective Date 2019-08-01
Expiration Date 2020-07-31
Refresh Date 2019-10-11

Other licenses

ID Credential Code Credential Type Issue Term Status
1029689 CSP.0051253 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-08-22 2017-10-26 - 2019-02-28 LAPSED

Office Location

Street Address 120 VALLEY DR
City GREENWICH
State CT
Zip Code 06831-5247

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Competitor

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City GREENWICH
Zip Code 06831
License Type Physician Assistant
License Type + County Physician Assistant + GREENWICH

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Dataset Information

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).

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