ABIGAIL MARIE GOODALE (Credential# 1682813) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ABIGAIL MARIE GOODALE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004685. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1748 S Cushman Ave, Tacoma, WA 98405-3534. The current status is active.
| Licensee Name | ABIGAIL MARIE GOODALE |
| Credential ID | 1682813 |
| Credential Number | 23.004685 |
| Credential Type | Physician Assistant |
| Business Address |
1748 S Cushman Ave Tacoma WA 98405-3534 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-04 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1987577 | CSP.0072834 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-11-26 | 2019-11-26 - 2021-02-28 | ACTIVE |
| Street Address | 1748 S CUSHMAN AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-3534 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bellarmine Preparatory School | 2300 S. Washington, Tacoma, WA 98405 | Public Charity-exempt From Financial Requirements | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Merchant Du Vin Corporation · Merchant Du Vin | 917 Pacific Ave Ste 501, Tacoma, WA 98402-4497 | Out of State Shipper Liquor | 2020-04-24 ~ 2021-04-23 |
| Trina Marshall | 7106 S Madison St, Tacoma, WA 98409-2464 | Hairdresser/cosmetician | 2020-05-07 ~ 2021-07-31 |
| Naveen Gnanabakthan | 1498 Pacific Ave Ste 400, Tacoma, WA 98402-4208 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David E Figueroa | 3202 S Mason Ave Apt N301, Tacoma, WA 98409 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Ssga Funds | 909 A Street, Tacoma, WA 98402 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
| Brecka Leigh Mayo | 1631 S 96th St, Tacoma, WA 98444 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Matthew S Ross | 5601 N. 37th St Apt Kk-04, Tacoma, WA 98407 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Diane M Wolford | Po Box 64007, Tacoma, WA 98464-0007 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Joyella Diane Jones | 7615 S G St, Tacoma, WA 98408-5308 | Registered Nurse | 2020-01-07 ~ 2020-11-30 |
| Give Inkind, Inc. | 1102 A Street, Tacoma, WA 98402 | Securities - Exemptions | 2019-12-11 ~ |
| Find all Licenses in TACOMA | |||
| City | TACOMA |
| Zip Code | 98405 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + TACOMA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Abigail Guy | 71 Rawson Rd, Woodstock, CT 06281-1333 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Dominic E Vozzella | 19 Marie St, Milford, CT 06460-7632 | Physician Assistant | ~ |
| G Marie Darrow Pa | 131 Kent Rd, New Milford, CT 06776-3485 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Dana Marie Rasmus | 7 Ann St, Milford, CT 06460 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Natalie Marie Concannon | 910 E 26th St, Minneapolis, MN 55407 | Physician Assistant | ~ |
| Kristina Marie Dauernheim | 413 Imperial Way, Bayport, NY 11705-1518 | Physician Assistant | ~ |
| Marie E Brady | 40 Prospect St 1-2h, Norwalk, CT 06850 | Physician Assistant | 1993-12-01 ~ 1994-02-28 |
| Aimee Marie Jadav | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician Assistant | 2020-05-13 ~ 2021-02-28 |
| Ann Marie Schoppmann Pa | 11 Lisa Ln, Woodbridge, CT 06525 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Catherine Marie De Stio | 535 E 70th St, New York, NY 10021-4823 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on ABIGAIL MARIE GOODALE.
| 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).