DAVID ANTIGNANI (Credential# 742052) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
DAVID ANTIGNANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000303. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 180 Patricia Dr, Stratford, CT 06614. The current status is active.
Licensee Name | DAVID ANTIGNANI |
Credential ID | 742052 |
Credential Number | 23.000303 |
Credential Type | Physician Assistant |
Business Address |
180 Patricia Dr Stratford CT 06614 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1993-11-05 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
162191 | CSP.0021734 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 180 PATRICIA DR |
City | STRATFORD |
State | CT |
Zip Code | 06614 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David J Antignani | 180 Patricia Dr, Stratford, CT 06614-1094 | Asbestos Abatement Worker | 2015-02-05 ~ 2015-06-30 |
Adopt A Cop Program Corporation | 180 Patricia Dr, Stratford, CT 06614-1094 | Public Charity-exempt From Financial Requirements | 2013-04-29 ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06614 |
City | STRATFORD |
Zip Code | 06614 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + STRATFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David J Antignani | 180 Patricia Dr, Stratford, CT 06614-1094 | Asbestos Abatement Worker | 2015-02-05 ~ 2015-06-30 |
David Malchman Pa | Po Box 372, N Stonington, CT 06359 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
David M Lang | 197 Oak Ave., Cheshire, CT 06410 | Physician Assistant | 2004-03-16 ~ 2005-05-31 |
David T. Magnussen | 163 Oak St, Southington, CT 06489-3218 | Physician Assistant | 2015-07-01 ~ 2016-06-30 |
David L Neubauer | 29 Frederick St, Trumbull, CT 06611-2722 | Physician Assistant | 2020-06-16 ~ 2021-05-31 |
David O Gargano | 2 Skiff St, Hamden, CT 06514-1801 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Nina Carusillo | 151 David Rd, Durham, CT 06422-2601 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
David Leake Pa | 151 Durham Rd, Guilford, CT 06437 | Physician Assistant | 2016-04-01 ~ 2017-03-31 |
David L Ozimek | 631 Millers Way, Simsbury, CT 06070-1994 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
David M Hanrahan | 132 River St., Hornell, NY 14843 | Physician Assistant | 2003-01-16 ~ 2004-01-31 |
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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).