BENJAMIN A WETSTONE (Credential# 1657789) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
BENJAMIN A WETSTONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004513. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 26 Calvin Rd, West Hartford, CT 06110-2110. The current status is active.
Licensee Name | BENJAMIN A WETSTONE |
Credential ID | 1657789 |
Credential Number | 23.004513 |
Credential Type | Physician Assistant |
Business Address |
26 Calvin Rd West Hartford CT 06110-2110 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-07-13 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-09 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1675636 | CSP.0071918 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-07-15 | 2019-07-15 - 2021-02-28 | ACTIVE |
1151496 | 70.016061 | Emergency Medical Technician | 2013-03-04 | 2014-11-25 - 2018-09-30 | INACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Benjamin A Wetstone | 67 North Main Street, West Hartford, CT 06107 | Notary Public Appointment | 2013-08-01 ~ 2018-07-31 |
Street Address | 26 CALVIN RD |
City | WEST HARTFORD |
State | CT |
Zip Code | 06110-2110 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicole C Blais | 26 Calvin Rd, West Hartford, CT 06110 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Diem Thuy Nguyen | 25 Brian Road, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
Dominick E Deslauriers | 67 Red Top Drive, West Hartford, CT 06110 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Markos Raptis Dds | 61 Park Place Circle, West Hartford, CT 06110 | Dentist | 2020-07-01 ~ 2021-06-30 |
Keith A Dumond | 83 Mayflower Street, West Hartford, CT 06110 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Yayan Tong | 6 Steven St, West Hartford, CT 06110 | Nail Technician | ~ |
Apsara Thapa | 15 Lewis Lane, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Aneudi J Rodriguez Perez | 24 Elmhurt Circle, West Hartford, CT 06110 | Real Estate Salesperson | ~ |
Frances B Gurtman Md | 445 S Main Street, West Hartford, CT 06110 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Diana M Rodriguez | 445 South Main St, West Hartford, CT 06110 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jong Lee | 6 Timothy, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 06110 |
City | WEST HARTFORD |
Zip Code | 06110 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrew S Wetstone | 100 Wason Ave Ste 230, Springfield, MA 01107-1179 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
Benjamin T Houston | 69 Oakleaf Dr, Waterbury, CT 06708-3632 | Physician Assistant | 2016-12-01 ~ 2017-11-30 |
Jerry A Benjamin | 54 Warwick St, West Hartford, CT 06119 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Benjamin T Gilbert | 290 N Hudson Ave Apt 308e, Pasadena, CA 91101-4429 | Physician Assistant | 2017-11-01 ~ 2018-10-31 |
Benjamin W Dodson | 552 Wallingford Road, Lancaster, PA 17601 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Benjamin Michael Marks | 250 Victory Hwy., North Smithfield, RI 02896 | Physician Assistant | 2018-02-14 ~ 2018-10-31 |
Marc Benjamin | 40 Glen Hollow, West Hartford, CT 06117-2224 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Harriet Wetstone | 44 Court St, Windsor, CT 06095-2909 | Psychologist | 2011-11-01 ~ 2012-10-31 |
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 |
Patrice Wetstone | 24 Beacon Street, Hartford, CT 06105 | Pharmacy Technician | 2008-04-09 ~ 2009-03-31 |
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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).