RANDALL THOMAS SWYERS (Credential# 1987898) 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.
RANDALL THOMAS SWYERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004728. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 116 Court St Apt 407, New Haven, CT 06511-6954. The current status is active.
| Licensee Name | RANDALL THOMAS SWYERS |
| Credential ID | 1987898 |
| Credential Number | 23.004728 |
| Credential Type | Physician Assistant |
| Business Address |
116 Court St Apt 407 New Haven CT 06511-6954 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-30 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2004443 | CSP.0073092 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-01-31 | 2020-01-31 - 2021-02-28 | ACTIVE |
| Street Address | 116 COURT ST APT 407 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-6954 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hiroyasu Sugimoto | 116 Court St Apt 301, New Haven, CT 06511-6954 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
| Nikolaos Papoutsidakis | 116 Court St Apt 505, New Haven, CT 06511-6954 | Medical School Faculty License | 2017-03-21 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annette Pope-morris | 227 Randall Ave, Freeport, NY 11520-2644 | Physician Assistant | 2014-07-01 ~ 2015-06-30 |
| Thomas G Brady Pa | 23 Scuppo Rd, Woodbury, CT 06798 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Diana Waxler | 1 Thomas St, Scarsdale, NY 10583-1030 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Thomas V Mangano Pa | 145 Pacer Ln, Plantsville, CT 06479-1484 | 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 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 | ~ |
| Thomas C Beltz | 153 Mill St, Uxbridge, MA 01569-2022 | Physician Assistant | 2019-09-03 ~ 2020-09-30 |
| Thomas P Moreau | 8 Heights Rd, Barrington, NH 03825-3934 | Physician Assistant | 2013-06-01 ~ 2014-05-31 |
| Thomas V Gocke IIi | 162 Algonquin Drive, Boone, NC 28607 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on RANDALL THOMAS SWYERS.
| 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).