MAX HODDWELLS
Physician Assistant


Address: 17 Lafield Street Unit #2, Dorchester, MA 02122

MAX HODDWELLS (Credential# 1424865) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.

Business Overview

MAX HODDWELLS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003901. The credential type is physician assistant. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 17 Lafield Street Unit #2, Dorchester, MA 02122. The current status is active.

Basic Information

Licensee Name MAX HODDWELLS
Credential ID 1424865
Credential Number 23.003901
Credential Type Physician Assistant
Business Address 17 Lafield Street Unit #2
Dorchester
MA 02122
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-07-26
Effective Date 2019-08-01
Expiration Date 2020-07-31
Refresh Date 2019-06-30

Other licenses

ID Credential Code Credential Type Issue Term Status
1428271 CSP.0065715 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-07-27 2017-07-27 - 2019-02-28 LAPSED

Office Location

Street Address 17 Lafield Street Unit #2
City Dorchester
State MA
Zip Code 02122

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City Dorchester
Zip Code 02122
License Type Physician Assistant
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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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