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.
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.
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 |
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 |
Street Address | 133 LAKESHORE DR |
City | NEW HARTFORD |
State | CT |
Zip Code | 06057-4123 |
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 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Find all Licenses in zip 06057 |
City | NEW HARTFORD |
Zip Code | 06057 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + NEW HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mia F Williams | 3 Old Oak Rd, Norwich, CT 06360-1500 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Cheryl L Williams | 54 Turnor Ave, Milford, CT 06460-5357 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Gresi Kello | 14 Williams Way, Terryville, CT 06786-4800 | Physician Assistant | 2020-05-07 ~ 2020-08-31 |
Nicole M Spataro | 427 Williams Rd, Wallingford, CT 06492-2690 | Physician Assistant | 2018-11-01 ~ 2019-10-31 |
Victoria L Maxwell Pa | 823 Williams Street, Pittsfield, MA 01201 | Physician Assistant | 2003-07-01 ~ 2004-06-30 |
Sheldon C Williams | 21 Wood Dr, East Hartford, CT 06108-1232 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
William L Williams IIi Pa | 1221 Mapleton Ave, Suffield, CT 06078-1336 | Physician Assistant | 2017-08-01 ~ 2018-07-31 |
Anna-leila Williams | 131 Clifford St, Hamden, CT 06517 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
Bernard Williams | 15430 Foothill Blvd, San Leandro, CA 94578-1009 | Physician Assistant | ~ |
Jason David Williams | 145 Pomfret St, Putnam, CT 06260-1803 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).