COURTNEY R HOLLINGSWORTH (Credential# 1117377) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2016. The license expiration date date is September 30, 2017. The license status is INACTIVE.
COURTNEY R HOLLINGSWORTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002807. The credential type is physician assistant. The effective date is October 1, 2016. The expiration date is September 30, 2017. The business address is 428 Country Walk, Amherst, OH 44001-2635. The current status is inactive.
| Licensee Name | COURTNEY R HOLLINGSWORTH |
| Credential ID | 1117377 |
| Credential Number | 23.002807 |
| Credential Type | Physician Assistant |
| Business Address |
428 Country Walk Amherst OH 44001-2635 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-09-06 |
| Effective Date | 2016-10-01 |
| Expiration Date | 2017-09-30 |
| Refresh Date | 2018-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1124053 | CSP.0053746 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-09-21 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 428 COUNTRY WALK |
| City | AMHERST |
| State | OH |
| Zip Code | 44001-2635 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ktm North America Inc | 1119 Milan Ave, Amherst, OH 44001 | Motor Vehicle Manufacturer (llm) | ~ |
| Barbara J. Elenin | 120 Ambleside Way, Amherst, OH 44001 | Pharmacist | 2000-02-01 ~ 2001-01-31 |
| Juan S Solis | 812 North Court, Amherst, OH 44001-1042 | Physician/surgeon | 2000-08-10 ~ 2001-08-31 |
| Margaret Torgerson | 110 Orchard Hill Dr, Amherst, OH 44001-1753 | Registered Nurse | 2019-06-25 ~ 2020-04-30 |
| Mary Elizabeth Kneisel | 460 Charles Ave, Amherst, OH 44001-2082 | Registered Nurse | 2019-12-10 ~ 2020-10-31 |
| Monica Deitz | 49934 Greystone Dr, Amherst, OH 44001-9851 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Rajit Dua | 168 Dalal Compound Katol Rd, Nagpur, CT 440013 | Home Improvement Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Derek Noble | 40 Hulst Rd, Amherst, MA 01002 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joshua I Creaser | 35 Station Rd, Amherst, MA 01002 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Morgan Upham | 1040 N Pleasant St Apt 373, Amherst, MA 01002-1380 | Speech and Language Pathologist Temporary Permit | 2020-06-19 ~ 2021-06-19 |
| Rachel Loeffler | 133 Bay Road, Amherst, MA 01002 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Patrick Somers | 15 Research Dr, Amherst, MA 01002-2776 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Andrew J Bohne | 53 Kellogg Ave, Amherst, MA 01002-2138 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Jesse J Selman | 49 S Pleasant St Apt 301, Amherst, MA 01002-2662 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas Rc Hartman | 49 S Pleasant St Ste 301, Amherst, MA 01002-2661 | Architect | 2020-08-01 ~ 2021-07-31 |
| Matt Dempesy | 6 Rosemary Ln, Amherst, MA 01002-1138 | Home Improvement Salesperson | 2020-06-03 ~ 2020-11-30 |
| Christian Davis Littlefield | 21 Pine Top Rd, Amherst, NH 03031 | Crane Operator | ~ |
| Find all Licenses in AMHERST | |||
| City | AMHERST |
| Zip Code | 44001 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + AMHERST |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Courtney Nicole Enos | 916 1/2 4th St Ne, Byron, MN 55920-1530 | Physician Assistant | ~ |
| Courtney Adair Chenault | 110 Lismore Ave, Glenside, PA 19038-4011 | Physician Assistant | ~ |
| Courtney Sherman | 18 John Ct., Randolph, NJ 07869 | Physician Assistant | 2004-01-28 ~ 2004-09-30 |
| Courtney Christine Marquardt | 1 Dicardee Dr, Enfield, CT 06082-1905 | Physician Assistant | ~ |
| Courtney R Whittle | 73 Perry Rd, Bristol, CT 06010-7812 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Courtney Wagner Peerless | 52 Charlesgate E Apt 155, Boston, MA 02215-3624 | Physician Assistant | 2018-12-01 ~ 2019-11-30 |
| Courtney Elizabeth Peck | 365 Montauk Ave, New London, CT 06320-4700 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Heidi A Courtney | 108 Circle Drive, Chicopee, MA 01020 | Physician Assistant | 1999-10-28 ~ 2000-07-31 |
| Courtney M Fankhanel Pa | 10 Twin Pines Drive, Wallingford, CT 06492 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Courtney Beth Stewart | 1751 Earl Core Rd., Morgantown, WV 26505 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on COURTNEY R HOLLINGSWORTH.
| 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).