WILLIAM AVERY PA (Credential# 742164) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 19, 2007. The license expiration date date is August 31, 2008. The license status is INACTIVE.
WILLIAM AVERY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000415. The credential type is physician assistant. The effective date is July 19, 2007. The expiration date is August 31, 2008. The business address is 120 Clark St, Milford, CT 06460. The current status is inactive.
| Licensee Name | WILLIAM AVERY PA |
| Credential ID | 742164 |
| Credential Number | 23.000415 |
| Credential Type | Physician Assistant |
| Business Address |
120 Clark St Milford CT 06460 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-01-14 |
| Effective Date | 2007-07-19 |
| Expiration Date | 2008-08-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162686 | CSP.0021871 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-09-06 - 2003-02-28 | INACTIVE |
| Street Address | 120 CLARK ST |
| City | MILFORD |
| State | CT |
| Zip Code | 06460 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | MILFORD |
| Zip Code | 06460 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Avery Rose Skelton | 1513 West St, Guilford, CT 06437-1031 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| William G Banfield | 15715 Avery Rd, Rockville, MD 20855 | Physician/surgeon | 2006-01-23 ~ 2007-03-31 |
| William K. Shafto | 4 Flintlock Dr, Danbury, CT 06811 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| William G Broadhurst | 22 Crestview Dr, Brookfield, CT 06804-2414 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| William B Gorsuch | 267 Melba St C-18, Milford, CT 06460 | Physician Assistant | 1997-08-25 ~ 1998-10-31 |
| William S Nicholson | 232 Nersesian Rd, Hartwick, NY 13348 | Physician Assistant | 2002-07-01 ~ 2003-05-31 |
| William J Keys | 64 Atwood Rd, Middlebury, CT 06762 | Physician Assistant | 1999-06-28 ~ 2000-08-31 |
| William Reed | 209 Knollwood Ave, Mamaroneck, NY 10543 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| William H Cullen IIi | 38 Zacks Way, Agawam, MA 01001-3246 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| William S King | 17 Tumblebrook Cir, Somers, CT 06071 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
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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).