TIA J WILLIAMS
Physician Assistant


Address: 133 Lakeshore Dr, New Hartford, CT 06057-4123

TIA J WILLIAMS (Credential# 1146481) 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.

Business Overview

TIA J WILLIAMS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002877. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 133 Lakeshore Dr, New Hartford, CT 06057-4123. The current status is active.

Basic Information

Licensee Name TIA J WILLIAMS
Credential ID 1146481
Credential Number 23.002877
Credential Type Physician Assistant
Business Address 133 Lakeshore Dr
New Hartford
CT 06057-4123
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-02-25
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2019-12-13

Other licenses

ID Credential Code Credential Type Issue Term Status
1150447 CSP.0054249 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-02-26 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 133 LAKESHORE DR
City NEW HARTFORD
State CT
Zip Code 06057-4123

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Cheryl Wiecek · Syme 161 Lakeshore Dr, New Hartford, CT 06057-4123 Registered Nurse 2020-08-01 ~ 2021-07-31

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Mary C Barden 45 Burgoyne Hyts, New Hartford, CT 06057 Emergency Medical Technician ~
Haylee A Comerford 506 Townhill Road, New Hartford, CT 06057 Real Estate Salesperson 2020-06-18 ~ 2021-05-31
Michele Gautieri 11 Stedman Road, New Hartford, CT 06057 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Jane M Romano 300 Cottonhill Rd, New Hartford, CT 06057 Advanced Practice Registered Nurse 2020-07-01 ~ 2021-06-30
Savannah M Marcus 72 Evergreen Xing, New Hartford, CT 06057 Registered Nurse 2020-07-01 ~ 2021-06-30
Won A Lee 220 Main St Unit#7e, New Hartford, CT 06057 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-23 ~ 2022-06-30
Maria Moscarillo 340 Cotton Hill Road, New Hartford, CT 06057 Notary Public Appointment 2020-10-01 ~ 2025-09-30
Vipin J Patel · Marandino Spirits 141 Main St, New Hartford, CT 06057 Package Store Liquor 2020-08-04 ~ 2021-08-03
Dimitrios Karouta 831 West Hill Road, New Hartford, CT 06057 Real Estate Salesperson ~
Ariadna Z Garcarz 7 Stonegate Rd, New Hartford, CT 06057 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City NEW HARTFORD
Zip Code 06057
License Type Physician Assistant
License Type + County Physician Assistant + NEW HARTFORD

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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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