This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kiersten M Revord | 51 Glendale Rd, Southampton, MA 01073-9461 | Physician Assistant | 2016-04-01 ~ 2017-03-31 |