WILLIAM A BARCUS JR
Physician Assistant


Address: 15 Hillcrest Drive, Waterford, CT 06385

WILLIAM A BARCUS JR (Credential# 742152) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 2, 2004. The license expiration date date is August 31, 2005. The license status is INACTIVE.

Business Overview

WILLIAM A BARCUS JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000403. The credential type is physician assistant. The effective date is July 2, 2004. The expiration date is August 31, 2005. The business address is 15 Hillcrest Drive, Waterford, CT 06385. The current status is inactive.

Basic Information

Licensee Name WILLIAM A BARCUS JR
Credential ID 742152
Credential Number 23.000403
Credential Type Physician Assistant
Business Address 15 Hillcrest Drive
Waterford
CT 06385
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-12-10
Effective Date 2004-07-02
Expiration Date 2005-08-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
162404 CSP.0021771 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 15 HILLCREST DRIVE
City WATERFORD
State CT
Zip Code 06385

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Howard Christopher Rosas 40 Ridgewood Ave, Waterford, CT 06385 Chiropractor 2020-07-01 ~ 2021-06-30
Vincent F Donato 26 Wild Rose Avenue, Waterford, CT 06385 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Mark A Herter 51 Quarry Rd, Waterford, CT 06385 Architect 2020-08-01 ~ 2021-07-31
Pamela A Manke 54 Rope Ferry Rd., Waterford, CT 06385 Professional Counselor 2020-08-01 ~ 2021-07-31
Carol Winslow 18 Myrock Ave, Waterford, CT 06385 Marital and Family Therapist 2020-09-01 ~ 2021-08-31
Donna M Rivero · Knupp 3 Ridgewood Ave, Waterford, CT 06385 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Margaret A Goldschneider · Chapman 3 High Ridge Drive, Waterford, CT 06385 Registered Nurse 2020-09-01 ~ 2021-08-31
Frank R Dellacono Md 201 Boston Post Road, Waterford, CT 06385 Physician/surgeon 2020-07-01 ~ 2021-06-30
Mathew H Tellier 25 Locust Ct., Waterford, CT 06385 Backflow Prevention Device Tester 2020-06-18 ~ 2023-03-31
Renata Kamburi 16 Marilyn Road, Waterford, CT 06385 Esthetician 2020-06-20 ~ 2021-12-31
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Competitor

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City WATERFORD
Zip Code 06385
License Type Physician Assistant
License Type + County Physician Assistant + WATERFORD

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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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