RICHARD WHITEHEAD JR (Credential# 742630) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
RICHARD WHITEHEAD JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000881. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 410 Saybrook Road, Middletown, CT 06457. The current status is active.
| Licensee Name | RICHARD WHITEHEAD JR |
| Credential ID | 742630 |
| Credential Number | 23.000881 |
| Credential Type | Physician Assistant |
| Business Address |
410 Saybrook Road Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-09-20 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 222183 | CSP.0028901 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-10-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 410 Saybrook Road |
| City | Middletown |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sean J O'donnell Md | 410 Saybrook Road, Middletown, CT 06457 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lucian F Gorgan | 410 Saybrook Road, Middletown, CT 06457 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| James H Walsh | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence Berson Md | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nadeem Hussain | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael A Mcdonald Pa | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregor J Koobatian | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mario Q Ricci | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | Middletown |
| Zip Code | 06457 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Middletown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John P Whitehead · Whitehead Masonry | 80 Sass Dr, Manchester, CT 06042-2255 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Richard G Whitehead | 15 Cedar Dr, Killingworth, CT 06419 | Professional Engineer | ~ |
| Richard D Whitehead Jr | 575 Gardner St, Manchester, CT 06040 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
| Shaun Thomas Whitehead | 32 Richard Blvd, Shelton, CT 06484-4384 | Tattoo Technician | ~ |
| Richard Whitehead | 53 Maple St, Darien, CT 06820-5208 | Home Improvement Salesperson | 2018-12-01 ~ 2019-11-30 |
| Richard N Young | Po Box 124, Belmont, VT 05730 | Physician Assistant | 2004-01-07 ~ 2005-01-31 |
| Richard L Murphy | 535 East 70 Street, New York, NY 10021 | Physician Assistant | ~ |
| Richard Dumont Pa | 73 Lavelle Ave, New Fairfield, CT 06812-2301 | Physician Assistant | 2012-09-01 ~ 2013-08-31 |
| Richard S Cassa Pa | 248 Davis Rd, Fairfield, CT 06825-2636 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Richard B Ahrens Jr | 16 Mohawk Rd, Plainville, CT 06062 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on RICHARD WHITEHEAD JR.
| 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).