THOMAS L WINN
Physician Assistant


Address: 79 Bellemeadow Drive, Watertown, CT 06795

THOMAS L WINN (Credential# 741977) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 13, 2009. The license expiration date date is October 31, 2009. The license status is INACTIVE.

Business Overview

THOMAS L WINN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000228. The credential type is physician assistant. The effective date is January 13, 2009. The expiration date is October 31, 2009. The business address is 79 Bellemeadow Drive, Watertown, CT 06795. The current status is inactive.

Basic Information

Licensee Name THOMAS L WINN
Credential ID 741977
Credential Number 23.000228
Credential Type Physician Assistant
Business Address 79 Bellemeadow Drive
Watertown
CT 06795
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-10-15
Effective Date 2009-01-13
Expiration Date 2009-10-31
Refresh Date 2010-03-12

Other licenses

ID Credential Code Credential Type Issue Term Status
161728 CSP.0021618 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-07-21 2007-03-28 - 2008-02-29 INACTIVE

Office Location

Street Address 79 BELLEMEADOW DRIVE
City WATERTOWN
State CT
Zip Code 06795

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City WATERTOWN
Zip Code 06795
License Type Physician Assistant
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Similar businesses

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Winn S Construction Inc 175 South Main St, E Windsor, CT 06088 Home Improvement Contractor 1996-12-01 ~ 1997-11-30
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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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