THOMAS JOHN BASIL (Credential# 1680648) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
THOMAS JOHN BASIL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004624. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 75 Hockanum Blvd, Vernon, CT 06066. The current status is active.
| Licensee Name | THOMAS JOHN BASIL |
| Credential ID | 1680648 |
| Credential Number | 23.004624 |
| Credential Type | Physician Assistant |
| Business Address |
75 Hockanum Blvd Vernon CT 06066 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-02 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1684280 | CSP.0072279 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-10-02 | 2019-10-02 - 2021-02-28 | ACTIVE |
| Street Address | 75 Hockanum Blvd |
| City | Vernon |
| State | CT |
| Zip Code | 06066 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tabatha Smith | 75 Hockanum Blvd, Vernon, CT 06066-4082 | Eyelash Technician | 2020-04-23 ~ 2021-12-31 |
| Maryellen Simko | 75 Hockanum Blvd, Vernon, CT 06066 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Shannon Marie Papuga | 75 Hockanum Blvd, Vernon, CT 06066 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Lemoine LLC | 75 Hockanum Blvd, Vernon, CT 06066 | Certified Public Accountant Firm Permit | 2018-01-01 ~ 2018-12-31 |
| Akshita Narra | 75 Hockanum Blvd, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Reena M Zachariah | 75 Hockanum Blvd, Vernon, CT 06066 | Registered Nurse | 2012-04-01 ~ 2013-03-31 |
| Casey James T Barrus | 75 Hockanum Blvd, Vernon, CT 06066 | Certified Public Accountant License | 2012-01-01 ~ 2012-12-31 |
| Anabella T Koeneke Perez | 75 Hockanum Blvd, Vernon, CT 06066 | Registered Nurse | 2008-01-31 ~ 2008-04-30 |
| Judith H Peck | 75 Hockanum Blvd, Vernon, CT 06066-4064 | Registered Nurse | 2006-12-18 ~ 2008-02-29 |
| Erica Hollar | 75 Hockanum Blvd, Vernon, CT 06066 | Psychologist | ~ |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Stelma | 35 White St, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diana C Mendieta | 127 Lake St, Vernon, CT 06066 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Taylor Rose Mulcahy | 95 Hockanum Blvd Unit #5223, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eric Scott · E Scott Const | 27 Lawrence St, Vernon Rockville, CT 06066 | Home Improvement Contractor | 2020-06-20 ~ 2020-11-30 |
| Margaret A Lucerini | 27 Rosewood Dr, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alexander John Bozzi | 28 Deepwood Dr, Vernon, CT 06066 | Home Inspector Intern | 2020-05-30 ~ 2021-06-30 |
| Kathleen N Laplaca | 244 Risley Road, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Shawnda Shelton | 215 East Main St. #25, Vernon, CT 06066 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
| Ireland Oil Co Inc | 171 Union St, Vernon, CT 06066 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Annmarie Margaret Fultz | 1a Prospect St, Vernon Rockville, CT 06066 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06066 | |||
| City | Vernon |
| Zip Code | 06066 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Vernon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Basil Thomas · B G Thomas & Co | 71 Osprey Cir, South Windsor, CT 06074-4314 | Home Improvement Contractor | 2020-01-23 ~ 2020-11-30 |
| Basil Etc | 872 East Main St, Torrington, CT 06790 | Non-alcoholic Beverage & Water Bottlers | 2006-04-26 ~ 2006-06-30 |
| Basil's | 91 S Main St, Newtown, CT 06470 | Bakery | 1996-08-14 ~ 1997-06-30 |
| Mark J Basil | 27 Holly Mar Hill Rd, Northford, CT 06472-1120 | Family Child Care Assistant | 2019-09-23 ~ 2021-09-30 |
| Brandan M Basil | 27 Holly Mar Hill Rd, Northford, CT 06472-1120 | Family Child Care Assistant | 2019-09-23 ~ 2021-09-30 |
| Thomas G Brady Pa | 23 Scuppo Rd, Woodbury, CT 06798 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Carole L Thomas | 100 Grand St, New Britain, CT 06052-2016 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Thomas P Moreau | 8 Heights Rd, Barrington, NH 03825-3934 | Physician Assistant | 2013-06-01 ~ 2014-05-31 |
| Thomas S Doty Pa | 310 85th St C6, Brooklyn, NY 11209 | Physician Assistant | 2005-07-22 ~ 2006-06-30 |
| Marc Thomas Civitano | 51 Caprice Dr, Stamford, CT 06902 | Physician Assistant | ~ |
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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).