TRACY A HAWTHORNE PA
Controlled Substance Registration for Practitioner


Address: 285 Turnpike Rd, Ashford, CT 06278-2411

TRACY A HAWTHORNE PA (Credential# 414713) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

TRACY A HAWTHORNE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038220. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 285 Turnpike Rd, Ashford, CT 06278-2411. The current status is active.

Basic Information

Licensee Name TRACY A HAWTHORNE PA
Credential ID 414713
Credential Number CSP.0038220
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 285 Turnpike Rd
Ashford
CT 06278-2411
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-09-23
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-11

Other licenses

ID Credential Code Credential Type Issue Term Status
743434 23.001685 Physician Assistant 2005-09-21 2020-02-01 - 2021-01-31 ACTIVE
872944 70.981031 Emergency Medical Technician 1998-06-01 2007-05-11 - 2008-12-31 INACTIVE

Office Location

Street Address 285 TURNPIKE RD
City ASHFORD
State CT
Zip Code 06278-2411

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Diane F Kendall 273 Turnpike Rd, Ashford, CT 06278-2411 Registered Nurse 2020-08-01 ~ 2021-07-31
Kimberly A Nurse 281 Turnpike Rd, Ashford, CT 06278-2411 Massage Therapist 2020-01-01 ~ 2021-12-31
Lee Built LLC 237 Turnpike Rd, Ashford, CT 06278-2411 New Home Construction Contractor 2019-10-03 ~ 2021-09-30
Perry M Gianopoulas 283 Turnpike Rd, Ashford, CT 06278-2411 Home Improvement Salesperson 2011-03-14 ~ 2011-11-30
Eric Lee 237 Turnpike Rd, Ashford, CT 06278-2411 Home Improvement Contractor 2012-12-01 ~ 2013-11-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Amber I Cote 355 Ashford Center Rd, Ashford, CT 06278 Licensed Practical Nurse 2020-08-01 ~ 2021-07-31
Marie C Desjarlais 288 Turnpike Rd, Ashford, CT 06278 Registered Nurse 2020-09-01 ~ 2021-08-31
Erica S Kallio 149 Ashford Center Rd Apt C3, Ashford, CT 06278 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Eileen F Lynch-james 10 Lakeview Dr, Ashford, CT 06278 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Debra Anne Crivello 129 Varga Road, Ashford, CT 06278 Marital and Family Therapist 2020-07-01 ~ 2021-06-30
Steven R Jacobs Box 194, Ashford, CT 06278 Registered Sanitarian 2020-09-01 ~ 2021-08-31
Kelly Sargenti 7 Horse Hill Rd, Ashford, CT 06278 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-16 ~ 2021-07-31
Tracy A Will · Chase 436 Turnpike Road, Ashford, CT 06278 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Thomas J Greninger 216 Ledegmere Apts, Ashford, CT 06278 Engineer-in-training 1982-07-15 ~ 1992-07-15
Kathleen G Freeman · Batter 138 Squaw Hollow Road, Ashford, CT 06278 Registered Nurse 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06278

Competitor

Search similar business entities

City ASHFORD
Zip Code 06278
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ASHFORD

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Improve Information

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Dataset Information

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).

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