DAVID L SCOTT (Credential# 1490970) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2013. The license expiration date date is June 30, 2020. The license status is ACTIVE.
DAVID L SCOTT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059072-RES. The credential type is resident physician. The effective date is August 1, 2013. The expiration date is June 30, 2020. The business address is 1808 Florida Ave, Palm Harbor, FL 34683-4700. The current status is active.
Licensee Name | DAVID L SCOTT |
Credential ID | 1490970 |
Credential Number | 1.059072-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
1808 Florida Ave Palm Harbor FL 34683-4700 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-08-01 |
Effective Date | 2013-08-01 |
Expiration Date | 2020-06-30 |
Refresh Date | 2019-05-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1173503 | 1.052733 | Physician/Surgeon | 2014-02-18 | 2016-09-01 - 2017-08-31 | INACTIVE |
1171535 | CSP.0055199 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-09-10 | 2013-09-10 - 2015-02-28 | INACTIVE |
Street Address | 1808 FLORIDA AVE |
City | PALM HARBOR |
State | FL |
Zip Code | 34683-4700 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael D Yanuck | 1350 Willow Brook Drive, Palm Harbor, FL 34683 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Jay Walshon | 2808 Challenger Drive, Palm Harbor, FL 34683 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Michael Ziomek | 522 High Pines Ct, Palm Harbor, FL 34683 | Electrical Unlimited Contractor | 2019-10-09 ~ 2020-09-30 |
Alexa Rossi | 1052 8th St, Palm Harbor, FL 34683 | Hairdresser/cosmetician | 2017-10-02 ~ 2019-03-31 |
Denise M Amper | 173 Allens Ridge Dr, Palm Harbor, FL 34683 | Registered Nurse | 2017-10-25 ~ 2018-04-30 |
Elizabeth O Courtenay · Pcre L L C | 2432 Clubside Ct #328, Palm Harbor, FL 34683 | Real Estate Salesperson | 2000-06-01 ~ 2001-05-31 |
Lawrence J Rose | 4787 Klosterman Oaks Blvd, Palm Harbor, FL 34683 | Certified Residential Real Estate Appraiser | 2016-05-01 ~ 2017-04-30 |
Patricia A Scotti | 808 Franklin Circle, Palm Harbor, FL 34683 | Respiratory Care Practitioner | 2013-04-01 ~ 2014-03-31 |
Paul Ernest De Chario | 1631 W. Orangecrest Avenue, Palm Harbor, FL 34683 | Certified Public Accountant Certificate | ~ |
Louis Marzullo | 795 County Road I, Palm Harbor, FL 34683 | Barber | 2008-08-25 ~ 2010-08-31 |
Find all Licenses in zip 34683 |
City | PALM HARBOR |
Zip Code | 34683 |
License Type | Resident Physician |
License Type + County | Resident Physician + PALM HARBOR |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Scott Sinisgalli | 80 Jefferson St, Hartford, CT 06106-5035 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
Scott A Walmer | 661 West Ave Unit #15c, Milford, CT 06461 | Resident Physician | 2015-07-02 ~ 2021-06-30 |
Scott Lesle Willis | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Resident Physician | 2016-07-07 ~ 2019-06-30 |
Matthew Scott | 1351 Washington Blvd, Stamford, CT 06904 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
David G Su | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
David Tsai | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
David A Durand | 20 York St # T-209, New Haven, CT 06510-3220 | Resident Physician | 2016-07-01 ~ 2019-06-30 |
David Christopher Gay | 47 Emerson St, Cresskill, NJ 07626 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
David Chen | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
David Homa | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-08 ~ 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).