JOHN D D'AGATA (Credential# 1400066) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
JOHN D D'AGATA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003783. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 20 Country Ln, Windsor, CT 06095-3412. The current status is active.
| Licensee Name | JOHN D D'AGATA |
| Credential ID | 1400066 |
| Credential Number | 23.003783 |
| Credential Type | Physician Assistant |
| Business Address |
20 Country Ln Windsor CT 06095-3412 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-02-14 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1403116 | CSP.0064804 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-02-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1175375 | 70.016415 | Emergency Medical Technician | 2013-07-19 | 2013-07-19 - 2015-06-30 | INACTIVE |
| 822037 | 69.004614 | Emergency Medical Responder | 2004-09-15 | 2004-09-15 - 2006-03-31 | INACTIVE |
| Street Address | 20 COUNTRY LN |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095-3412 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kate M D'agata | 20 Country Ln, Windsor, CT 06095-3412 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott M Mitchell | 21 Country Ln, Windsor, CT 06095-3412 | Architect | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cherene M Scott | 123 Clover St, Windsor, CT 06095 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marianne Lauri | 9 Mohawk Circle, Windsor, CT 06095 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Elaine R Birthwright Rowe | 71 Ford Road, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Annmarie Blair-atkinson | 19 Hope Circle, Windsor, CT 06095 | Medication Administration Certification | 2020-05-23 ~ 2022-05-22 |
| Cristina Valente | 39 Lochview Dr, Windsor, CT 06095 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bridget C Tran | 500 Huckleberry Rd, Windsor, CT 06095 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Kelli Price | 15 Berrios Hill Road, Windsor, CT 06095 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Yalanda Squirewell | 217 Willowcrest Drive, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Omason O Modeste | 30 Lepage Rd, Windsor, CT 06095 | Emergency Medical Technician | 2017-04-06 ~ 2020-06-30 |
| Mark E Allen | 372 Broad St, Windsor, CT 06095 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06095 | |||
| City | WINDSOR |
| Zip Code | 06095 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angelo M D'agata LLC | 28 Lakeview Dr, Vernon Rockville, CT 06066-6115 | Home Improvement Contractor | 2019-12-17 ~ 2020-11-30 |
| Agata K Harabasz | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2020-06-22 ~ 2024-06-27 |
| John Leach | Po Box 428, Ivoryton, CT 06442 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| John Voytek | 15 East St, Wallingford, CT 06492-4005 | Physician Assistant | ~ |
| John M Farrell | 202 S Brooksvale Rd, Cheshire, CT 06410 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Audrey Douglas | 26 John St, Derby, CT 06418 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Daniel John Kaplan | 28 Forster St, Hartford, CT 06106-4214 | Physician Assistant | ~ |
| John J Roney | 33 Norwood Ave, Milford, CT 06460-7719 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| John D Mclean | 2 Oak Ridge Ave, Danbury, CT 06810 | Physician Assistant | 2008-03-07 ~ 2009-04-30 |
| John M Glendening Jr | 369 Central Ave, New Haven, CT 06515 | Physician Assistant | 2002-02-01 ~ 2003-02-28 |
Please comment or provide details below to improve the information on JOHN D D'AGATA.
| 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).