DAVID KOTLER
Physician Assistant


Address: 89 Beverly Dr, Avon, CT 06001

DAVID KOTLER (Credential# 741779) 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.

Business Overview

DAVID KOTLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000030. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 89 Beverly Dr, Avon, CT 06001. The current status is active.

Basic Information

Licensee Name DAVID KOTLER
Credential ID 741779
Credential Number 23.000030
Credential Type Physician Assistant
Business Address 89 Beverly Dr
Avon
CT 06001
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1993-06-25
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-03-04

Other licenses

ID Credential Code Credential Type Issue Term Status
163295 CSP.0021104 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 89 BEVERLY DR
City AVON
State CT
Zip Code 06001

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Julie R Deitch 5 Bridle Path, Avon, CT 06001 Dental Hygienist 2020-07-01 ~ 2021-06-30
Brigitte Nicole Heleniak 16 Sunset Trail, Avon, CT 06001 Registered Nurse 2020-07-01 ~ 2021-06-30
Coffee Trade Inc (the) 21 West Main St, Avon, CT 06001 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Elizabeth Stockwell 44 Applewood Lane, Avon, CT 06001 Real Estate Salesperson ~
Mollie Velma Lahaie 14 Red Mountain Lane, Avon, CT 06001 Registered Nurse 2020-06-26 ~ 2020-08-31
Meiling Chen Avon Nail 315 W Main Street, Avon, CT 06001 Nail Technician ~
Richard J Kaiser 72 Westland Road, Avon, CT 06001 Architect 2020-08-01 ~ 2021-07-31
Michele L Sweitzer 12 Bluestone Lane, Avon, CT 06001 Real Estate Salesperson 2020-06-25 ~ 2021-05-31
Caroline O Amin 5 Colby Way, Avon, CT 06001 Physician/surgeon 2020-08-01 ~ 2021-07-31
Christine Burns 102 New Road, Avon, CT 06001 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City AVON
Zip Code 06001
License Type Physician Assistant
License Type + County Physician Assistant + AVON

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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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