DAVID L NEUBAUER (Credential# 2045658) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 16, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
DAVID L NEUBAUER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004831. The credential type is physician assistant. The effective date is June 16, 2020. The expiration date is May 31, 2021. The business address is 29 Frederick St, Trumbull, CT 06611-2722. The current status is active.
Licensee Name | DAVID L NEUBAUER |
Credential ID | 2045658 |
Credential Number | 23.004831 |
Credential Type | Physician Assistant |
Business Address |
29 Frederick St Trumbull CT 06611-2722 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-06-16 |
Effective Date | 2020-06-16 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-06-19 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2051570 | CSP.0074320 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-16 | 2020-06-16 - 2021-02-28 | ACTIVE |
1371039 | 70.020852 | Emergency Medical Technician | 2016-09-08 | 2016-09-08 - 2019-03-31 | INACTIVE |
Street Address | 29 FREDERICK ST |
City | TRUMBULL |
State | CT |
Zip Code | 06611-2722 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Craig Coker | 9 Frederick St, Trumbull, CT 06611-2722 | Electrical Limited Journeyperson | 2019-10-01 ~ 2020-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Find all Licenses in zip 06611 |
City | TRUMBULL |
Zip Code | 06611 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + TRUMBULL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marta M Neubauer | 37 Day Spring Ct, Southington, CT 06489-3342 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Paul Daniel Neubauer | 20 York St, New Haven, CT 06510 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
David T. Magnussen | 163 Oak St, Southington, CT 06489-3218 | Physician Assistant | 2015-07-01 ~ 2016-06-30 |
David M Lang | 197 Oak Ave., Cheshire, CT 06410 | Physician Assistant | 2004-03-16 ~ 2005-05-31 |
David Malchman Pa | Po Box 372, N Stonington, CT 06359 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Philip M. Roach Pa | 3 David Dr, Simsbury, CT 06070-3043 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
David Leake Pa | 151 Durham Rd, Guilford, CT 06437 | Physician Assistant | 2016-04-01 ~ 2017-03-31 |
David O Gargano | 2 Skiff St, Hamden, CT 06514-1801 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
David Zirkiyev | 160-40 78th Rd, Fresh Meadows, NY 11366 | Physician Assistant | ~ |
David G Stowe Pa | 181 Grayville Rd, Amston, CT 06231-1614 | Physician Assistant | 2012-10-01 ~ 2013-09-30 |
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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).