DAVID T. MAGNUSSEN
Physician Assistant


Address: 163 Oak St, Southington, CT 06489-3218

DAVID T. MAGNUSSEN (Credential# 1049453) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2015. The license expiration date date is June 30, 2016. The license status is INACTIVE.

Business Overview

DAVID T. MAGNUSSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002748. The credential type is physician assistant. The effective date is July 1, 2015. The expiration date is June 30, 2016. The business address is 163 Oak St, Southington, CT 06489-3218. The current status is inactive.

Basic Information

Licensee Name DAVID T. MAGNUSSEN
Credential ID 1049453
Credential Number 23.002748
Credential Type Physician Assistant
Business Address 163 Oak St
Southington
CT 06489-3218
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-04-16
Effective Date 2015-07-01
Expiration Date 2016-06-30
Refresh Date 2016-10-03

Office Location

Street Address 163 OAK ST
City SOUTHINGTON
State CT
Zip Code 06489-3218

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Erma J Magnussen 163 Oak St, Southington, CT 06489-3218 Registered Nurse 2015-04-01 ~ 2016-03-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Eric Dubois 139 Oak St, Southington, CT 06489-3218 Emergency Medical Technician 2020-01-06 ~ 2022-12-31
Michelle J Rusgrove · Northrup 99 Skyline Drive, Southington, CT 06489-3218 Registered Nurse 2019-10-01 ~ 2020-09-30
Daniel Hocott 161 Oak St, Southington, CT 06489-3218 Home Improvement Salesperson 2011-02-07 ~ 2011-11-30
James H Terray 107 Oak St, Southington, CT 06489-3218 Emergency Medical Technician 2018-03-28 ~ 2021-07-01

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Sarah M Moon 321 Pilgrim Lane, Southington, CT 06489 Esthetician ~
Joanna Milewski 23 Stacy Cate Drive, Southington, CT 06489 Registered Nurse 2020-07-01 ~ 2021-06-30
Richard M Testa 81 Winter Park Road, Southington, CT 06489 Massage Therapist 2020-08-01 ~ 2022-07-31
Valley Roofing LLC 88 Ladyslipper Lane, Southington, CT 06489 Home Improvement Contractor ~
Dunkin Donuts · New England Donuts LLC 856 Queen St, Southington, CT 06489 Bakery 2020-07-01 ~ 2021-06-30
Elizabeth E Pizzuto 45 Water Street, Southington, CT 06489 Real Estate Salesperson 2020-06-18 ~ 2021-05-31
Nicholas C Ingel 515 West Street, Southington, CT 06489 Heating, Piping & Cooling Limited Journeyperson 2020-06-23 ~ 2021-08-31
Tyrone J Correa 84 Minthal Drive, Southington, CT 06489 Real Estate Salesperson 2020-06-19 ~ 2021-05-31
Marilyn F Coppola 114 Spring Hill Rd, Southington, CT 06489 Registered Nurse 2020-08-01 ~ 2021-07-31
Christine M Liebler 30 Sultana Terrace, Southington, CT 06489 Registered Nurse 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06489

Competitor

Search similar business entities

City SOUTHINGTON
Zip Code 06489
License Type Physician Assistant
License Type + County Physician Assistant + SOUTHINGTON

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
David Malchman Pa Po Box 372, N Stonington, CT 06359 Physician Assistant 2020-06-01 ~ 2021-05-31
David M Lang 197 Oak Ave., Cheshire, CT 06410 Physician Assistant 2004-03-16 ~ 2005-05-31
Nina Carusillo 151 David Rd, Durham, CT 06422-2601 Physician Assistant 2020-04-01 ~ 2021-03-31
David W Lawler 211 Ridge Drive, Exeter, RI 02822 Physician Assistant ~
David M Hanrahan 132 River St., Hornell, NY 14843 Physician Assistant 2003-01-16 ~ 2004-01-31
David L Ozimek 631 Millers Way, Simsbury, CT 06070-1994 Physician Assistant 2020-05-01 ~ 2021-04-30
Philip M. Roach Pa 3 David Dr, Simsbury, CT 06070-3043 Physician Assistant 2020-03-01 ~ 2021-02-28
David Zirkiyev 160-40 78th Rd, Fresh Meadows, NY 11366 Physician Assistant ~
David Leake Pa 151 Durham Rd, Guilford, CT 06437 Physician Assistant 2016-04-01 ~ 2017-03-31
David Antignani 180 Patricia Dr, Stratford, CT 06614 Physician Assistant 2020-04-01 ~ 2021-03-31

Improve Information

Please comment or provide details below to improve the information on DAVID T. MAGNUSSEN.

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).

Trending Searches