ANTHONY D PILAND SR (Credential# 742562) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2017. The license expiration date date is September 30, 2018. The license status is INACTIVE.
ANTHONY D PILAND SR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000813. The credential type is physician assistant. The effective date is October 1, 2017. The expiration date is September 30, 2018. The business address is Po Box 1484, West Tisbury, MA 02575-1484. The current status is inactive.
Licensee Name | ANTHONY D PILAND SR |
Credential ID | 742562 |
Credential Number | 23.000813 |
Credential Type | Physician Assistant |
Business Address |
Po Box 1484 West Tisbury MA 02575-1484 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1999-01-01 |
Effective Date | 2017-10-01 |
Expiration Date | 2018-09-30 |
Refresh Date | 2019-01-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
207601 | CSP.0027869 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 | 2008-03-01 - 2009-02-28 | INACTIVE |
Street Address | PO BOX 1484 |
City | WEST TISBURY |
State | MA |
Zip Code | 02575-1484 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Peyton Thomas Wallace | 63 Otis Bassett Rd, West Tisbury, MA 02575 | Real Estate Broker | 2018-02-22 ~ 2019-03-31 |
Dennis R Gough | Po Box 1173, West Tisbury, NY 02575 | Home Inspector | 2015-07-01 ~ 2017-06-30 |
Daniel K Kaeka | 91a Music St, West Tisbury, MA 02575 | Pharmacy Intern | 2012-06-08 ~ 2015-09-30 |
Karen J Meeks | P.o. Box 129, West Tisbury, MA 02575 | Licensed Clinical Social Worker | 2005-10-14 ~ 2006-10-31 |
James W Prichard Md | P O Box 1319, West Tisbury, CT 02575 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Thomas W Buchert Jr | Po Box 902, W Tisbury, MA 02575 | Engineer-in-training | 1999-10-12 ~ 2009-10-12 |
Alexandra C Broome | P O Box 1065, West Tisbury, MA 02575 | Licensed Practical Nurse | 2002-11-25 ~ 2004-01-31 |
Eleanor L Brightman | Po Box 875, West Tisbury, MA 02575 | Licensed Clinical Social Worker | 1999-10-18 ~ 2000-12-31 |
City | WEST TISBURY |
Zip Code | 02575 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WEST TISBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Edward Anthony Pacitti | 142 Ely Ave, West Springfield, MA 01089-2286 | Physician Assistant | ~ |
Anthony J Vannucci | 5c Pineview Dr, Branford, CT 06405-2430 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Anthony Pazienza Pa-c | 27 Masthead Dr, Norwell, MA 02061 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Anthony J Maselli Pa | 9 W Broadway, Boston, MA 02127-1039 | Physician Assistant | 2014-12-01 ~ 2015-11-30 |
Anthony G Huff Pa-c | 2 Center Street, Newark, NJ 07102-4100 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
Anthony Salvo | 72 Tripp St, Bedford Corners, NY 10549-4624 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
Anthony J Labadia | 141 Lexington Street, Bristol, CT 06010 | Physician Assistant | 1997-02-26 ~ 1998-04-30 |
Anthony J Pandolfo | 20 Sunset Avenue, Pawling, NY 12564 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Anthony Capobianco Pa | 2200 Whitney Ave Ste 360, Hamden, CT 06518-3694 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Anthony Joseph Boguslawski | 3 Farmstead Lane, Farmington, CT 06032 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
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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).