JOHN CONNELLY PA (Credential# 742208) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 9, 2007. The license expiration date date is September 30, 2008. The license status is INACTIVE.
JOHN CONNELLY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000459. The credential type is physician assistant. The effective date is August 9, 2007. The expiration date is September 30, 2008. The business address is 25 Sprin St, Newington, CT 06111. The current status is inactive.
| Licensee Name | JOHN CONNELLY PA |
| Credential ID | 742208 |
| Credential Number | 23.000459 |
| Credential Type | Physician Assistant |
| Business Address |
25 Sprin St Newington CT 06111 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-10-28 |
| Effective Date | 2007-08-09 |
| Expiration Date | 2008-09-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162945 | CSP.0022850 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-03-09 - 2001-02-28 | INACTIVE |
| Street Address | 25 SPRIN ST |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | NEWINGTON |
| Zip Code | 06111 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEWINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert John Connelly | 55 Dover Ave, La Grange, IL 60525-5858 | Physician/surgeon | 2020-04-15 ~ 2021-04-30 |
| Timothy J Connelly · T J Connelly Inc | 26 Sage Dr, Manchester, CT 06040 | Home Improvement Contractor | 1995-11-07 ~ 1996-11-30 |
| T J Connelly Inc | 26 Sage Dr, Manchester, CT 06042 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
| Rita A Connelly | 1 Wilford Rd, Branford, CT 06405-5320 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| William G Freda | 95 Connelly Rd, Connelly, NY 12417 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Timothy R Connelly · K C Remodelers | 215 Hunting Hill Ave, Middletown, CT 06457-4344 | Home Improvement Contractor | 2010-03-11 ~ 2010-11-30 |
| John Voytek | 15 East St, Wallingford, CT 06492-4005 | Physician Assistant | ~ |
| John Leach | Po Box 428, Ivoryton, CT 06442 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Daniel John Kaplan | 28 Forster St, Hartford, CT 06106-4214 | Physician Assistant | ~ |
| John J Roney | 33 Norwood Ave, Milford, CT 06460-7719 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
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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).