TIMOTHY K BURNHAM (Credential# 742322) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 13, 2000. The license expiration date date is November 30, 2001. The license status is INACTIVE.
TIMOTHY K BURNHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000573. The credential type is physician assistant. The effective date is October 13, 2000. The expiration date is November 30, 2001. The business address is 229 Pelican Drive, Groton, CT 06340. The current status is inactive.
| Licensee Name | TIMOTHY K BURNHAM |
| Credential ID | 742322 |
| Credential Number | 23.000573 |
| Credential Type | Physician Assistant |
| Business Address |
229 Pelican Drive Groton CT 06340 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1996-03-08 |
| Effective Date | 2000-10-13 |
| Expiration Date | 2001-11-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 229 PELICAN DRIVE |
| City | GROTON |
| State | CT |
| Zip Code | 06340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy Gug | 38 Volunteer Ln Apt 3e, Greenwich, CT 06830-5462 | Physician Assistant | 2014-11-03 ~ 2015-11-30 |
| Timothy E. August | 27 Libbies Ln, Waynesville, NC 28786-9311 | Physician Assistant | 2013-05-22 ~ 2014-04-30 |
| Timothy Zack Day | 915 Main St Apt 602, Hartford, CT 06103 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Timothy R Cook | 28 Augusta Dr, Milford, CT 06461-1683 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Timothy B Lassiter | 3 Gulliver Circle, Norwich, CT 06360 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Timothy A Wright | 42 Warren Street, Cheshire, CT 06410 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Timothy Williams Burnap | 105 Sleepy Hollow Ln, Wakefield, RI 02879-4528 | Physician Assistant | 2016-09-19 ~ 2017-04-30 |
| Timothy W Stilwell | 4819 State Route 228, Trumansburg, NY 14886-9662 | Physician Assistant | 2014-09-15 ~ 2015-09-30 |
| John Burnham · Burnham & Co | 178 Scantic Rd, East Windsor, CT 06088 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Timothy J Devries Pa | New Britain General Hospital, New Britain, CT 06050 | Physician Assistant | 1997-12-23 ~ 1998-11-30 |
Please comment or provide details below to improve the information on TIMOTHY K BURNHAM.
| 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).