DONALD DAILEY PA
Physician Assistant


Address: 112 Joseph St, Waterbury, CT 06705

DONALD DAILEY PA (Credential# 742060) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2016. The license expiration date date is May 31, 2017. The license status is INACTIVE.

Business Overview

DONALD DAILEY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000311. The credential type is physician assistant. The effective date is June 1, 2016. The expiration date is May 31, 2017. The business address is 112 Joseph St, Waterbury, CT 06705. The current status is inactive.

Basic Information

Licensee Name DONALD DAILEY PA
Credential ID 742060
Credential Number 23.000311
Credential Type Physician Assistant
Business Address 112 Joseph St
Waterbury
CT 06705
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-11-05
Effective Date 2016-06-01
Expiration Date 2017-05-31
Refresh Date 2017-09-03

Other licenses

ID Credential Code Credential Type Issue Term Status
161963 CSP.0021689 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 112 JOSEPH ST
City WATERBURY
State CT
Zip Code 06705

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Nancy L Gonzalez 141 Decicco Road, Waterbury, CT 06705 Licensed Practical Nurse 2020-08-01 ~ 2021-07-31
Cara Anne Mahony 80 Craigie Ave, Waterbury, CT 06705 Registered Nurse 2020-07-01 ~ 2021-06-30
Jocelyn Dennise Garcia 38 Stonewall Lane, Waterbury, CT 06705 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Rosa Tenezaca 24 Wall St Apt 1st, Waterbury, CT 06705 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Spinella Bakery 53 Interstate Lane, Waterbury, CT 06705 Bakery 2020-07-01 ~ 2021-06-30
Penelope Ortiz 42 Gayridge Rd Apt 3-1, Waterbury, CT 06705 Licensed Practical Nurse 2020-06-01 ~ 2021-05-31
Sandra Arias 57 Howard St., Waterbury, CT 06705 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Waldemar Lopes 10 Mansfield Ave, Waterbury, CT 06705 Medication Administration Certification 2020-05-16 ~ 2022-05-15
Briana Yvette Hurdle 235 Academy Avenue, Waterbury, CT 06705 Esthetician ~
Jason Bradway 93 Midland Road, Waterbury, CT 06705 Notary Public Appointment 2020-09-01 ~ 2025-08-31
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Competitor

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City WATERBURY
Zip Code 06705
License Type Physician Assistant
License Type + County Physician Assistant + WATERBURY

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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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