KATHY DAVIS GAUTHIER PA-C (Credential# 580881) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
KATHY DAVIS GAUTHIER PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.076879. The credential type is registered nurse. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 161 S Huntington Ave, Jamaica Plain, MA 02130. The current status is active.
| Licensee Name | KATHY DAVIS GAUTHIER PA-C |
| Credential ID | 580881 |
| Credential Number | 10.076879 |
| Credential Type | Registered Nurse |
| Business Address |
161 S Huntington Ave Jamaica Plain MA 02130 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-09-28 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-07-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 265055 | CSP.0030631 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE | |
| 742803 | 23.001054 | Physician Assistant | 2001-01-03 | 2012-07-01 - 2013-06-30 | INACTIVE |
| Street Address | 161 S Huntington Ave |
| City | Jamaica Plain |
| State | MA |
| Zip Code | 02130 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Ann Nichols | 3611 Washington Street Unit B627, Boston, MA 02130 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Claire L Fellman | 90 Forest Hill St #3, Jamaica Plain, MA 02130 | Landscape Architect | 2019-01-30 ~ 2019-07-31 |
| Ginger Mills | 150 South Huntington Avenue, Boston, MA 02130 | Psychologist | ~ |
| Paolo Bidin | 227a Lamartine Street, Jamaica Plain, MA 02130 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Joaquin Q Camara-quintana | 101 South Huntington Ave, Jamaica Plain, MA 02130 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Community Servings · Pie In The Sky | 18 Marbury Terrace, Jamaica Plain, MA 02130 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Michael J Hart | 28 Grovenor Rd, Jamaica Plain, MA 02130 | Temporary Certified General Real Estate Appraiser | 2019-09-03 ~ 2020-03-03 |
| Lauren L Forni | 3611 Washington Street Unit B430, Boston, MA 02130 | Pharmacist | 2020-02-03 ~ 2022-01-31 |
| Jill Canora | 3 Edge Hill St, Boston, MA 02130 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Shannon F Manzi | 202 Chestnut Ave, Jamaica Plain, MA 02130 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 02130 | |||
| City | Jamaica Plain |
| Zip Code | 02130 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Jamaica Plain |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathy J Chiulli · Davis | 64 Knights Court, Southington, CT 06489 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| G Gauthier Cellars Inc · G Gauthier Cellars | 1075 Buchli Station Rd, Napa, CA 94559-9716 | Out of State Winery | 2013-10-10 ~ 2014-09-06 |
| Paul Gauthier · Paul Gauthier Co | 39 Laurel Dr, Berlin, CT 06037-2416 | Home Improvement Contractor | 2013-12-01 ~ 2014-11-30 |
| David A Gauthier LLC | 74 Follett Rd, Windham, CT 06280 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Gary Gauthier · Gary Gauthier & Son's | Rt 163 Box 94, Montville, CT 06353 | Home Improvement Contractor | ~ 1995-09-01 |
| David W Gauthier · Gauthier Electric LLC | Po Box 604, Simsbury, CT 06070 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| James Gauthier Enterprises | 16 Lewiston Court, Groton, CT 06340 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Jason T Gauthier · Tj Gauthier Restorations | 54 Great View Ave, North Providence, RI 02904-3111 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| James Gauthier Enterprises LLC | 16 Lewiston Ct, Groton, CT 06340 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| Nancy B Gauthier | P O Box 314, Willington, CT 06279 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on KATHY DAVIS GAUTHIER PA-C.
| 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).