PATRICK J CULLEN PA (Credential# 742429) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
PATRICK J CULLEN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000680. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1 Shaws Cove, New London, CT 06320. The current status is active.
| Licensee Name | PATRICK J CULLEN PA |
| Credential ID | 742429 |
| Credential Number | 23.000680 |
| Credential Type | Physician Assistant |
| Business Address |
1 Shaws Cove New London CT 06320 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-10-03 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 192332 | CSP.0026424 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1 Shaws Cove |
| City | New London |
| State | CT |
| Zip Code | 06320 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rishi Saxena Dmd | 1 Shaws Cove, New London, CT 06320 | Dentist | 2011-07-01 ~ 2012-06-30 |
| Mark B Fischer Md | 1 Shaws Cove, New London, CT 06355 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
| Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
| Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
| Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06320 | |||
| City | New London |
| Zip Code | 06320 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + New London |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William H Cullen IIi | 38 Zacks Way, Agawam, MA 01001-3246 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Amanda J Cullen Pa-c | 38 Zacks Way, Agawam, MA 01001-3246 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Patrick Lafond Pa | 9 Oak Lane, Westfield, MA 01085 | Physician Assistant | 2002-11-26 ~ 2003-12-31 |
| Leo Patrick Caamano | 721 Westchester Ave, Rye Brook, NY 10573 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Patrick G Addo | 6910 Jessica Pl, Fontana, CA 92336-5050 | Physician Assistant | ~ |
| Patrick Adusei | 1948 Central Ave Apt 303, Albany, NY 12205-4233 | Physician Assistant | 2014-07-15 ~ 2014-11-30 |
| Patrick O'brien | 747 Amostown Rd, West Springfield, MA 01089-4302 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Patrick Deegan Pa | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Patrick C Mcaree | 12 Woodward Road, Columbia, CT 06237 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Patrick Cosgrove Pa | 350 Chatey Road, Ashford, CT 06278 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on PATRICK J CULLEN PA.
| 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).