DAVID S BECK PA (Credential# 742823) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
DAVID S BECK PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001074. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 81 Sunburst Dr, Southbury, CT 06488-1824. The current status is active.
Licensee Name | DAVID S BECK PA |
Credential ID | 742823 |
Credential Number | 23.001074 |
Credential Type | Physician Assistant |
Business Address |
81 Sunburst Dr Southbury CT 06488-1824 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2001-05-31 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-04-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
282096 | CSP.0031001 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-06-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 81 SUNBURST DR |
City | SOUTHBURY |
State | CT |
Zip Code | 06488-1824 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lorlene A Beck | 81 Sunburst Dr, Southbury, CT 06488 | Radiographer | 2020-01-01 ~ 2020-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jason M Decremer | 15 Sunburst Dr, Southbury, CT 06488-1824 | Emergency Medical Responder | 2010-10-22 ~ 2013-10-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06488 |
City | SOUTHBURY |
Zip Code | 06488 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + SOUTHBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David T. Magnussen | 163 Oak St, Southington, CT 06489-3218 | Physician Assistant | 2015-07-01 ~ 2016-06-30 |
David Malchman Pa | Po Box 372, N Stonington, CT 06359 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
David M Lang | 197 Oak Ave., Cheshire, CT 06410 | Physician Assistant | 2004-03-16 ~ 2005-05-31 |
David Zirkiyev | 160-40 78th Rd, Fresh Meadows, NY 11366 | Physician Assistant | ~ |
David L Ozimek | 631 Millers Way, Simsbury, CT 06070-1994 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
David W Lawler | 211 Ridge Drive, Exeter, RI 02822 | Physician Assistant | ~ |
David O Gargano | 2 Skiff St, Hamden, CT 06514-1801 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
David Kotler | 89 Beverly Dr, Avon, CT 06001 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
David L Neubauer | 29 Frederick St, Trumbull, CT 06611-2722 | Physician Assistant | 2020-06-16 ~ 2021-05-31 |
David Antignani | 180 Patricia Dr, Stratford, CT 06614 | 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).