TIMOTHY GUG
Physician Assistant


Address: 38 Volunteer Ln Apt 3e, Greenwich, CT 06830-5462

TIMOTHY GUG (Credential# 1244472) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 3, 2014. The license expiration date date is November 30, 2015. The license status is INACTIVE.

Business Overview

TIMOTHY GUG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003229. The credential type is physician assistant. The effective date is November 3, 2014. The expiration date is November 30, 2015. The business address is 38 Volunteer Ln Apt 3e, Greenwich, CT 06830-5462. The current status is inactive.

Basic Information

Licensee Name TIMOTHY GUG
Credential ID 1244472
Credential Number 23.003229
Credential Type Physician Assistant
Business Address 38 Volunteer Ln Apt 3e
Greenwich
CT 06830-5462
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-11-03
Effective Date 2014-11-03
Expiration Date 2015-11-30
Refresh Date 2016-03-04

Office Location

Street Address 38 VOLUNTEER LN APT 3E
City GREENWICH
State CT
Zip Code 06830-5462

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Deborah B Huffard 107 Maple Ave, Greenwich, CT 06830 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Joann H Alexander 157 Stanwich Road, Greenwich, CT 06830 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Dandan Tu 24 Byfield Ln, Greenwich, CT 06830 Physician/surgeon 2020-06-01 ~ 2021-05-31
Mohamed Akli Zetchi 2 Perryridge Road, Greenwich, CT 06830 Physician/surgeon 2020-08-01 ~ 2021-07-31
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Competitor

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City GREENWICH
Zip Code 06830
License Type Physician Assistant
License Type + County Physician Assistant + GREENWICH

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Timothy A Wright 42 Warren Street, Cheshire, CT 06410 Physician Assistant 2020-04-01 ~ 2021-03-31
Timothy K Burnham 229 Pelican Drive, Groton, CT 06340 Physician Assistant 2000-10-13 ~ 2001-11-30
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Timothy W Stilwell 4819 State Route 228, Trumansburg, NY 14886-9662 Physician Assistant 2014-09-15 ~ 2015-09-30
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Timothy J Devries Pa New Britain General Hospital, New Britain, CT 06050 Physician Assistant 1997-12-23 ~ 1998-11-30
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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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