BRENDON WINTERS PA (Credential# 742889) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 29, 2006. The license expiration date date is September 30, 2007. The license status is INACTIVE.
BRENDON WINTERS PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001140. The credential type is physician assistant. The effective date is September 29, 2006. The expiration date is September 30, 2007. The business address is 412 Flanders Rd, Woodbury, CT 06798. The current status is inactive.
Licensee Name | BRENDON WINTERS PA |
Credential ID | 742889 |
Credential Number | 23.001140 |
Credential Type | Physician Assistant |
Business Address |
412 Flanders Rd Woodbury CT 06798 |
Business Type | INDIVIDUAL |
Status | INACTIVE - PRIOR DISCIPLINE |
Issue Date | 2001-11-19 |
Effective Date | 2006-09-29 |
Expiration Date | 2007-09-30 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
293662 | CSP.0031685 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE | |
877886 | 71.970102 | Advanced Emergency Medical Technician | 1997-05-01 | - 2000-04-01 | INACTIVE |
869315 | 70.960298 | Emergency Medical Technician | 1996-01-01 | - 1998-01-01 | INACTIVE |
Street Address | 412 FLANDERS RD |
City | WOODBURY |
State | CT |
Zip Code | 06798 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Russell J Hardy | 229 Bacon Pond Rd #114, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Geoffrey S Middeleer | 20 Roxbury Road, Woodbury, CT 06798 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Elaine P Templeton | 197 Carmel Hill Road, Woodbury, CT 06798 | Real Estate Salesperson | ~ |
Ayrica L Gelinas | 65 Laurel Woods Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Christopher R Laux | Grey Fox Trail, Woodbury, CT 06798 | Architect | 2020-08-01 ~ 2021-07-31 |
Diane L Robinson | P O Box 208, Woodbury, CT 06798 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Scott Freitag | 47 Woodbury Hill, Woodbury, CT 06798 | Medication Administration Certification | ~ |
Brenda L Lupo | 31 Blueberry Lane, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jennifer L Thompson | 1280 Main St. North, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Eileen O Pflegl | 3 Hazel Plain Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Find all Licenses in zip 06798 |
City | WOODBURY |
Zip Code | 06798 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WOODBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mark J Winters · Winters Construction | 37 Timber Ridge Rd, Middletown, CT 06457 | Home Improvement Contractor | 2011-04-29 ~ 2011-11-30 |
Michael E Winters · Michael E Winters Construction | 25 Fenwood Dr, Pawling, NY 12564 | Home Improvement Contractor | 1999-09-30 ~ 1999-11-30 |
Robert K Winters · Winters Builders | 39 Ore Hill Road, Lakeville, CT 06039 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
Francine Gallousis Md | 109 Brendon Hill Rd, Scarsdale, NY 10583 | Physician/surgeon | 2003-05-28 ~ 2004-05-31 |
Protect Our Winters · N/a | 4676 Broadway, Boulder, CO 80304 | Public Charity | 2019-11-05 ~ 2020-11-30 |
Marie C Winters | 737 Dudley St, Philadelphia, PA 19148-2423 | Naturopathic Physician | 2019-07-01 ~ 2020-06-30 |
Thomas H Winters | 208 Barton Road, Stow, MA 01775 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Ishaq Abdullah Everett Winters | 981 State St Apt 2, New Haven, CT 06511-3929 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
Brendon Honick | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2014-07-01 ~ 2021-06-30 |
Bryson & Winters Const Co | 1731 Memorial Drive, Chicopee, MA 01020 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
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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).