DAVID C WOODWORTH (Credential# 742981) 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 C WOODWORTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001232. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 189 Mountain Spring Road, Tolland, CT 06084. The current status is active.
| Licensee Name | DAVID C WOODWORTH |
| Credential ID | 742981 |
| Credential Number | 23.001232 |
| Credential Type | Physician Assistant |
| Business Address |
189 Mountain Spring Road Tolland CT 06084 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-09-16 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 322637 | CSP.0032934 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-11-06 | 2019-03-06 - 2021-02-28 | ACTIVE |
| 879346 | 72.001139 | Paramedic | 1997-10-01 | 2019-06-01 - 2020-05-31 | ACTIVE IN RENEWAL |
| 669387 | 11.025552 | Licensed Practical Nurse | 1994-08-12 | 2000-08-08 - 2001-05-31 | INACTIVE |
| 877244 | 71.940121 | Advanced Emergency Medical Technician | 1994-06-02 | - 1996-09-30 | INACTIVE |
| 860166 | 70.901321 | Emergency Medical Technician | 1990-06-01 | - 1996-06-30 | INACTIVE |
| Street Address | 189 Mountain Spring Road |
| City | Tolland |
| State | CT |
| Zip Code | 06084 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janice M Heldmann-o'connell · Heldmann | 18 Thomas Dr, Tolland, CT 06084 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Barbara Ann Stebbins | 18 Midland Drive, Tolland, CT 06084 | Registered Nurse | ~ |
| Carrie Elizabeth Gill | 63 Hill Top Road, Tolland, CT 06084 | Behavior Analyst | ~ |
| Kollas Apple Orchard | 41 New Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Frederick M Daniels Dds | 12 Goose Lane, Tolland, CT 06084 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Pat's Power Equipment LLC | 401 Merrow Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Keri A Johnson | 224 Buff Cap Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Clifford Vernor Dunn, IIi | 44 Birch Hill Dr., Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Aimee Wendy Johnson | 175 South River Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Peter D Staiger Md | David E. Palozej Eyecare Associates, Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06084 | |||
| City | Tolland |
| Zip Code | 06084 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Tolland |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Woodworth | 120 Holcomb Street, Hartford, CT 06112-1589 | Medication Administration Certification | 2017-08-19 ~ 2019-08-18 |
| 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 T. Magnussen | 163 Oak St, Southington, CT 06489-3218 | Physician Assistant | 2015-07-01 ~ 2016-06-30 |
| Warren F Woodworth | 17 Wells St, Westerly, RI 02891 | Physician/surgeon | 2004-03-17 ~ 2005-04-30 |
| David O Gargano | 2 Skiff St, Hamden, CT 06514-1801 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Nina Carusillo | 151 David Rd, Durham, CT 06422-2601 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| David Antignani | 180 Patricia Dr, Stratford, CT 06614 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| David L Neubauer | 29 Frederick St, Trumbull, CT 06611-2722 | Physician Assistant | 2020-06-16 ~ 2021-05-31 |
| Philip M. Roach Pa | 3 David Dr, Simsbury, CT 06070-3043 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DAVID C WOODWORTH.
| 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).