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.
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.
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 |
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 |
Street Address | 89 BEVERLY DR |
City | AVON |
State | CT |
Zip Code | 06001 |
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 |
Find all Licenses in zip 06001 |
City | AVON |
Zip Code | 06001 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + AVON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
David T. Magnussen | 163 Oak St, Southington, CT 06489-3218 | Physician Assistant | 2015-07-01 ~ 2016-06-30 |
David W Lawler | 211 Ridge Drive, Exeter, RI 02822 | Physician Assistant | ~ |
David Antignani | 180 Patricia Dr, Stratford, CT 06614 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Nina Carusillo | 151 David Rd, Durham, CT 06422-2601 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
David Zirkiyev | 160-40 78th Rd, Fresh Meadows, NY 11366 | Physician Assistant | ~ |
David M Hanrahan | 132 River St., Hornell, NY 14843 | Physician Assistant | 2003-01-16 ~ 2004-01-31 |
David O Gargano | 2 Skiff St, Hamden, CT 06514-1801 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
David G Stowe Pa | 181 Grayville Rd, Amston, CT 06231-1614 | Physician Assistant | 2012-10-01 ~ 2013-09-30 |
Please comment or provide details below to improve the information on DAVID KOTLER.
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).