TIMOTHY B LASSITER (Credential# 1309454) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
TIMOTHY B LASSITER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003443. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 3 Gulliver Circle, Norwich, CT 06360. The current status is active.
| Licensee Name | TIMOTHY B LASSITER |
| Credential ID | 1309454 |
| Credential Number | 23.003443 |
| Credential Type | Physician Assistant |
| Business Address |
3 Gulliver Circle Norwich CT 06360 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-10-06 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1315337 | CSP.0061583 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-10-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 3 Gulliver Circle |
| City | Norwich |
| State | CT |
| Zip Code | 06360 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helar E Campos | 9 Abel Crossing, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yanbo Dong | 624 West Main St Ste1, Norwich, CT 06360 | Esthetician | ~ |
| Jing An Jin | 624 West Main St Suite 160, Norwich, CT 06360 | Nail Technician | ~ |
| Deborah Moya | 9 3rd St, Norwich, CT 06360 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Argyro Donuts LLC | 60 Town Street, Norwich, CT 06360 | Bakery | 2019-08-12 ~ 2020-06-30 |
| Paige Elizabeth Signorella | 532 Boswell Avenue, Norwich, CT 06360 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-09-30 |
| Bethany Catherine Chinigo | 19m 495 Laurel Hill Rd, Norwich, CT 06360 | Hairdresser/cosmetician | ~ |
| American Friends of Kenya Inc. | 150 Yantic Street, #142, Norwich, CT 06360 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Caylee Elizabeth Liebig | 10 Bozrah Drive, Norwich, CT 06360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brendan Williams | 18 Stonington Rd, Norwich, CT 06360 | Electrical Unlimited Journeyperson | 2020-06-22 ~ 2020-09-30 |
| Find all Licenses in zip 06360 | |||
| City | Norwich |
| Zip Code | 06360 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Norwich |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy Gug | 38 Volunteer Ln Apt 3e, Greenwich, CT 06830-5462 | Physician Assistant | 2014-11-03 ~ 2015-11-30 |
| Timothy E. August | 27 Libbies Ln, Waynesville, NC 28786-9311 | Physician Assistant | 2013-05-22 ~ 2014-04-30 |
| Timothy Zack Day | 915 Main St Apt 602, Hartford, CT 06103 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Timothy R Cook | 28 Augusta Dr, Milford, CT 06461-1683 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| 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 |
| Timothy W Stilwell | 4819 State Route 228, Trumansburg, NY 14886-9662 | Physician Assistant | 2014-09-15 ~ 2015-09-30 |
| Timothy Williams Burnap | 105 Sleepy Hollow Ln, Wakefield, RI 02879-4528 | Physician Assistant | 2016-09-19 ~ 2017-04-30 |
| Timothy J Devries Pa | New Britain General Hospital, New Britain, CT 06050 | Physician Assistant | 1997-12-23 ~ 1998-11-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
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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).