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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
162404 | CSP.0021771 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
Street Address | 15 HILLCREST DRIVE |
City | WATERFORD |
State | CT |
Zip Code | 06385 |
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 |
Find all Licenses in zip 06385 |
City | WATERFORD |
Zip Code | 06385 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WATERFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William Reed | 209 Knollwood Ave, Mamaroneck, NY 10543 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
William Avery Pa | 120 Clark St, Milford, CT 06460 | Physician Assistant | 2007-07-19 ~ 2008-08-31 |
William K. Shafto | 4 Flintlock Dr, Danbury, CT 06811 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
William S King | 17 Tumblebrook Cir, Somers, CT 06071 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
William H Cullen IIi | 38 Zacks Way, Agawam, MA 01001-3246 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
William B Gorsuch | 267 Melba St C-18, Milford, CT 06460 | Physician Assistant | 1997-08-25 ~ 1998-10-31 |
William J Keys | 64 Atwood Rd, Middlebury, CT 06762 | Physician Assistant | 1999-06-28 ~ 2000-08-31 |
William S Nicholson | 232 Nersesian Rd, Hartwick, NY 13348 | Physician Assistant | 2002-07-01 ~ 2003-05-31 |
William G Broadhurst | 22 Crestview Dr, Brookfield, CT 06804-2414 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
William J Fitzmaurice | 46 Lockwood Lane, Norwalk, CT 06851 | Physician Assistant | 2004-09-20 ~ 2005-09-30 |
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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).