KEVIN E WOOD (Credential# 1229379) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
KEVIN E WOOD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003118. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 43 Terese Rd, Beacon Falls, CT 06403-1240. The current status is active.
| Licensee Name | KEVIN E WOOD |
| Credential ID | 1229379 |
| Credential Number | 23.003118 |
| Credential Type | Physician Assistant |
| Business Address |
43 Terese Rd Beacon Falls CT 06403-1240 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-03 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 879344 | 72.001137 | Paramedic | 1997-10-01 | 2020-07-01 - 2021-06-30 | ACTIVE |
| 1232996 | CSP.0057908 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 877380 | 71.950017 | Advanced Emergency Medical Technician | 1994-10-16 | - 1997-03-31 | INACTIVE |
| 866329 | 70.940549 | Emergency Medical Technician | 1994-02-01 | - 1996-03-31 | INACTIVE |
| Street Address | 43 TERESE RD |
| City | BEACON FALLS |
| State | CT |
| Zip Code | 06403-1240 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristy A Wood | 43 Terese Rd, Beacon Falls, CT 06403-1240 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole J Sawicki | 45 Terese Rd, Beacon Falls, CT 06403-1240 | Radiographer | 2020-05-01 ~ 2021-04-30 |
| Ryan C Lafortune | 82 Laurie Lane, Beacon Falls, CT 06403-1240 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Diane C Maloney | 15 Terese Rd, Beacon Falls, CT 06403-1240 | Emergency Medical Responder | 2010-07-19 ~ 2013-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bronislawa A Zieba | 118 Rice Ln Ext, Beacon Falls, CT 06403 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jtp Construction LLC | 53 Lancaster Dr, Beacon Falls, CT 06403 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Brett J Tanner | 699 Skokorat Road, Beacon Falls, CT 06403 | Plumbing & Piping Unlimited Journeyperson | 2020-06-21 ~ 2020-10-31 |
| Diane L Santos | 19 Molleur View Drive, Beacon Falls, CT 06403 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Madeline R Godlewski | 194 Lasky Rd, Beacon Falls, CT 06403 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| It's A Grind LLC | 20 North Main Street, Beacon Falls, CT 06403 | Bakery | 2020-06-24 ~ 2021-06-30 |
| Daniel R Sullivan | 75 Avenue C, Beacon Falls, CT 06403 | Distribution System Operator In Training | 2020-04-01 ~ 2023-03-31 |
| Joy F Johnson-brown | 14 Gruber Rd, Beacon Falls, CT 06403 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Victoria B Breare | 39 Brockton Ct, Beacon Falls, CT 06403 | Emergency Medical Technician | 2017-10-06 ~ 2020-06-30 |
| Barbara Dlugos · Foley | 765 Burton Rd, Beacon Falls, CT 06403 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06403 | |||
| City | BEACON FALLS |
| Zip Code | 06403 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BEACON FALLS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura K Lok Pa | 6 Wood Creek Rd, Burlington, CT 06013 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| James R Capizzuto | 11 Meadow Wood Rd, Trumbull, CT 06611-5506 | Physician Assistant | 2017-03-01 ~ 2018-02-28 |
| Sheldon C Williams | 21 Wood Dr, East Hartford, CT 06108-1232 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Rahat S Hussain | 202 High Wood Dr, South Glastonbury, CT 06073-2910 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Carol Rizzolo Pa | 476 Wood Hill Road, Cheshire, CT 06410 | Physician Assistant | 2010-11-01 ~ 2011-10-31 |
| Ann Lee Cahill | 47 High Wood Drive, South Glastonbury, CT 06073 | Physician Assistant | 2008-12-16 ~ 2009-12-31 |
| Kevin L Pedneault | 15 Fairmont St, Wethersfield, CT 06109-2212 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kevin M Chandon Pa-c | 79 Judson Ave, Woodbury, CT 06798-2713 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Kevin R Lager | 308 Eagles Ridge Rd, Brewster, NY 10509-1132 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Kevin R Mcdonald | 100 Oakview Drive, Trumbull, CT 06611 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
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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).