JOHN R PIKE PA (Credential# 741852) 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.
JOHN R PIKE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000103. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 21 Tuscany Hills Dr, Middletown, CT 06457-8760. The current status is active.
| Licensee Name | JOHN R PIKE PA |
| Credential ID | 741852 |
| Credential Number | 23.000103 |
| Credential Type | Physician Assistant |
| Business Address |
21 Tuscany Hills Dr Middletown CT 06457-8760 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-08-27 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 164443 | CSP.0021401 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 21 TUSCANY HILLS DR |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-8760 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda Pike · Fingerhut | 21 Tuscany Hills Dr, Middletown, CT 06457-8760 | Licensed Clinical Social Worker | 2019-07-01 ~ 2020-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria C Gomes | 30 Tuscany Hills Dr, Middletown, CT 06457-8760 | Notary Public Appointment | 2018-06-01 ~ 2023-05-31 |
| Harry A Seltzer | 24 Tuscany Hills Dr, Middletown, CT 06457-8760 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| David L Beachy | 8 Tuscany Hills Dr, Middletown, CT 06457-8760 | Home Improvement Contractor | 2020-03-10 ~ 2020-11-30 |
| Pasquale E Corsetti | 7 Tuscany Hills Dr, Middletown, CT 06457-8760 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Diane L Bergeron | 29 Tuscany Hills Dr, Middletown, CT 06457-8760 | Registered Nurse | 2017-08-01 ~ 2018-07-31 |
| Alan W Watson | 17 Tuscany Hills Dr, Middletown, CT 06457-8760 | Home Inspector | 2015-07-01 ~ 2017-06-30 |
| Anne M Conetta | 13 Tuscany Hills Dr, Middletown, CT 06457-8760 | Optician Apprentice | 2014-09-02 ~ 2015-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brooke Lemme | 1640 Plainfield Pike, Greene, RI 02827-1908 | Physician Assistant | ~ |
| John Leach | Po Box 428, Ivoryton, CT 06442 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| John Voytek | 15 East St, Wallingford, CT 06492-4005 | Physician Assistant | ~ |
| Daniel John Kaplan | 28 Forster St, Hartford, CT 06106-4214 | Physician Assistant | ~ |
| John J Sceppa Pa | 259 Argyle Rd, Orange, CT 06477-2915 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| John M Farrell | 202 S Brooksvale Rd, Cheshire, CT 06410 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| John J Roney | 33 Norwood Ave, Milford, CT 06460-7719 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| John D Mclean | 2 Oak Ridge Ave, Danbury, CT 06810 | Physician Assistant | 2008-03-07 ~ 2009-04-30 |
| John D D'agata | 20 Country Ln, Windsor, CT 06095-3412 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| John S Lignore | 33 Hubbell Ln, Shelton, CT 06484-2165 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on JOHN R PIKE 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).