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.
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.
| 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 |
| 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 |
| Street Address | 285 TURNPIKE RD |
| City | ASHFORD |
| State | CT |
| Zip Code | 06278-2411 |
| 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 |
| 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 | |||
| City | ASHFORD |
| Zip Code | 06278 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ASHFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tracy Campbell | 1089 Hawthorne Pkwy, Spring Lake, NJ 07762-2370 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martin B Cohen Md | 19 Bradhurst Ave Ste 700, Hawthorne, NY 10532 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Frank J Tamarkin | 84 Hawthorne Ave, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Ifeyinwa Bernice Obi Lnm | 10 Hawthorne Ave, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mourad M Ismail Md | 29 Mountain Ave, Hawthorne, NJ 07506 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jennifer Hodio | 282 Hawthorne Ln, Orange, CT 06477-2932 | Controlled Substance Registration for Practitioner | 2019-05-10 ~ 2021-02-28 |
| Michael Engelbert Md | 630 Hawthorne Ave, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Howard J Luks Md | 19 Bradhurst Ave, Hawthorne, NY 10532 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Michael A Monaco Md | 44 Hawthorne St N, Greenwich, CT 06831-4203 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gabriel A Bonilla | 381 Willis Ave, Hawthorne, NY 10532-1413 | Controlled Substance Registration for Practitioner | 2009-09-10 ~ 2011-02-28 |
Please comment or provide details below to improve the information on TRACY A HAWTHORNE PA.
| 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).