RICHARD DUMONT PA (Credential# 742169) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2012. The license expiration date date is August 31, 2013. The license status is INACTIVE.
RICHARD DUMONT PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000420. The credential type is physician assistant. The effective date is September 1, 2012. The expiration date is August 31, 2013. The business address is 73 Lavelle Ave, New Fairfield, CT 06812-2301. The current status is inactive.
| Licensee Name | RICHARD DUMONT PA |
| Credential ID | 742169 |
| Credential Number | 23.000420 |
| Credential Type | Physician Assistant |
| Business Address |
73 Lavelle Ave New Fairfield CT 06812-2301 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-01-28 |
| Effective Date | 2012-09-01 |
| Expiration Date | 2013-08-31 |
| Refresh Date | 2013-12-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162873 | CSP.0021901 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-20 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 73 LAVELLE AVE |
| City | NEW FAIRFIELD |
| State | CT |
| Zip Code | 06812-2301 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William J Gemmell Md | 45 Lavelle Ave, New Fairfield, CT 06812-2301 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ken Stilson & Son · Masonry / Landscaping | 71 Lavelle Ave, New Fairfield, CT 06812-2301 | Home Improvement Contractor | 2013-04-01 ~ 2013-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Pepin | 16 Cloverleaf Drive, New Fairfield, CT 06812 | Notary Public Appointment | ~ |
| Antoinett L Crawford | 60 Beaver Bog, New Fairfield, CT 06812 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Goodie Shoppe LLC (the) | 1 Brush Hill Rd, New Fairfield, CT 06812 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Jeffrey R Logel · Fairwood Wine & Liquor | 17 Route 39 Shaw's Plaza, New Fairfield, CT 06812 | Package Store Liquor | 2020-08-11 ~ 2021-08-10 |
| Joseph G Dimyan | 1 Lloyd Avenue, New Fairfield, CT 06812 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Melanie Porter | 2 High Trail Ci Rd, New Fairfield, CT 06812 | Behavior Analyst | 2020-07-01 ~ 2021-06-30 |
| Dara E O'toole | 15 Muller Street, New Fairfield, CT 06812 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Anita Michelle Thompson | 15 Bauer Road, New Fairfield, CT 06812 | Registered Nurse | ~ |
| Maureen Salerno · Schully | 4 Old Orchard Road, New Fairfield, CT 06812 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| John N Devito IIi IIi | 9 Cloverleaf Drive, New Fairfield, CT 06812 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06812 | |||
| City | NEW FAIRFIELD |
| Zip Code | 06812 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika S Monti | 107 2nd St, Dumont, NJ 07628-3333 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Earl M Dumont · E M Dumont Masonry Co | 35 Savage Commons, Wallingford, CT 06492 | Home Improvement Contractor | 2003-12-01 ~ 2004-11-30 |
| Ronald R Dumont · Ron Dumont Framing & Siding | 8 Pamela Court, Tolland, CT 06084 | Home Improvement Contractor | 2003-12-01 ~ 2004-11-30 |
| Raymond Dumont · Dumont Brothers | 17 Jude Ln, Mansfield Center, CT 06250-1413 | Home Improvement Contractor | 2003-12-01 ~ 2004-11-30 |
| Richard N Young | Po Box 124, Belmont, VT 05730 | Physician Assistant | 2004-01-07 ~ 2005-01-31 |
| Richard Byrns Pa | 51 Maher Dr, Norwalk, CT 06850 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Richard L Murphy | 535 East 70 Street, New York, NY 10021 | Physician Assistant | ~ |
| Richard J Kopf | 132 Main St, Danbury, CT 06810 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Richard K Brandt Pa | 845 18th St Ne, Owatonna, MN 55060 | Physician Assistant | 2004-06-01 ~ 2005-06-30 |
| Richard B Ahrens Jr | 16 Mohawk Rd, Plainville, CT 06062 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
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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).