DAVID MALCHMAN PA
Physician Assistant


Address: Po Box 372, N Stonington, CT 06359

DAVID MALCHMAN PA (Credential# 742121) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

DAVID MALCHMAN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000372. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is Po Box 372, N Stonington, CT 06359. The current status is active.

Basic Information

Licensee Name DAVID MALCHMAN PA
Credential ID 742121
Credential Number 23.000372
Credential Type Physician Assistant
Business Address Po Box 372
N Stonington
CT 06359
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1993-11-05
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-05-07

Other licenses

ID Credential Code Credential Type Issue Term Status
162171 CSP.0021714 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-02 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address PO BOX 372
City N STONINGTON
State CT
Zip Code 06359

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Elizabeth Taylor 404 Pendleton Hill Rd, North Stonington, CT 06359 Esthetician 2020-06-27 ~ 2022-03-31
Alaina L Kindelan 70e Reutemann Rd, North Stonington, CT 06359 Advanced Practice Registered Nurse 2020-09-01 ~ 2021-08-31
Tenzin Dechen 105 A Lakeside Drive, North Stonington, CT 06359 Casino Class I Employee 2019-12-03 ~ 2020-03-02
Chad J Eaton · Bellissimo Grande 411a 411b Norwich Westerly Road, North Stonington, CT 06359 Hotel Liquor (10000 Or Less Population) 2019-12-20 ~ 2021-04-19
Carolyn A Howell 495 Providence Newlondon Turnpike, North Stonington, CT 06359 Notary Public Appointment 2020-10-01 ~ 2025-09-30
Nancy L Peterson 30 Pond Drive, North Stonington, CT 06359 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Pamela C Greenleaf 28 Pond Dr, North Stonington, CT 06359 Registered Nurse 2020-07-01 ~ 2021-06-30
Lorna Mckusick Pulver 62n Patricia Avenue, North Stonington, CT 06359 Esthetician 2020-06-13 ~ 2022-04-30
Jennifer A Emert · Chappell 85 Rocky Hollow Rd, North Stonington, CT 06359 Registered Nurse 2020-05-01 ~ 2021-04-30
Ariel J Pelletier 389j Wyassup Road, North Stonington, CT 06359 Notary Public Appointment 2020-06-11 ~ 2025-06-30
Find all Licenses in zip 06359

Competitor

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City N STONINGTON
Zip Code 06359
License Type Physician Assistant
License Type + County Physician Assistant + N STONINGTON

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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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