PETER A DAVIS (Credential# 741949) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
PETER A DAVIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000200. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 75 Eastern Point Rd., Groton, CT 06340. The current status is active.
| Licensee Name | PETER A DAVIS |
| Credential ID | 741949 |
| Credential Number | 23.000200 |
| Credential Type | Physician Assistant |
| Business Address |
75 Eastern Point Rd. Groton CT 06340 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-10-15 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161687 | CSP.0021569 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-06 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter A Davis · Amodio Moving and Stoage Co | 1 Hartford Square, New Britain, CT 06052 | Public Weigher | 1995-07-01 ~ 1996-06-30 |
| Street Address | 75 EASTERN POINT RD. |
| City | GROTON |
| State | CT |
| Zip Code | 06340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tio Livingston | 254 Davis St, Hamden, CT 06517-3603 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Marine Kazaryan | 6 Davis Ave Apt A22, Rye, NY 10580-4166 | Physician Assistant | 2016-12-21 ~ 2017-05-31 |
| Richard S Cassa Pa | 248 Davis Rd, Fairfield, CT 06825-2636 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Ryan C Davis | 111 Woodland Drive, Cromwell, CT 06416 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Tina M Davis | 5671 Arlyne Ln, Medina, OH 44256-8798 | Physician Assistant | 2016-09-01 ~ 2017-08-31 |
| Nicole Davis | 272 Chamberlain Hill Rd, Middletown, CT 06457-5599 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Bobby Fields | 44 Davis Rd, North Scituate, RI 02857-1200 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Georgia L Davis Pa | 164 Longview Ave, White Plains, NY 10605 | Physician Assistant | 2016-04-01 ~ 2017-03-31 |
| Peter Zhang | 213 Ramapoo Rd, Ridgefield, CT 06877-3734 | Physician Assistant | ~ |
| Peter N Fish | 222 Riverside Dr Apt 3f, New York, NY 10025 | Physician Assistant | 2005-01-28 ~ 2006-03-31 |
Please comment or provide details below to improve the information on PETER A DAVIS.
| 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).