MATTHEW T MITCHELL PA (Credential# 743144) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2004. The license expiration date date is October 31, 2005. The license status is INACTIVE.
MATTHEW T MITCHELL PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001395. The credential type is physician assistant. The effective date is November 1, 2004. The expiration date is October 31, 2005. The business address is 118 Osborne St Apt 1c, Danbury, CT 06810. The current status is inactive.
| Licensee Name | MATTHEW T MITCHELL PA |
| Credential ID | 743144 |
| Credential Number | 23.001395 |
| Credential Type | Physician Assistant |
| Business Address |
118 Osborne St Apt 1c Danbury CT 06810 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-10-02 |
| Effective Date | 2004-11-01 |
| Expiration Date | 2005-10-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 350081 | CSP.0034190 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 118 OSBORNE ST APT 1C |
| City | DANBURY |
| State | CT |
| Zip Code | 06810 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eastern College Athletic Conference Inc | Matrix Corp Ctr 39 Old Ridgebury Rd, Danbury, CT 06810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Subway #36533 | 67 Newtown Rd, Danbury, CT 06810 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Natali Salome Teran | 27 Balmforth Ave 2, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Kristin Danielle Mehta | 33 Country View Road, Danbury, CT 06810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Zhane Gabrielle Cardenas | 40 Westville Avenue Apt 1, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2021-09-30 |
| Zhane E Willikinson | 30 Germantown Road Suite 117, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2022-03-31 |
| Michelle Dahlgren | 8 Stable Drive, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Asheree P Griffin | 14 New Town Road, Danbury, CT 06810 | Real Estate Salesperson | ~ |
| Tania Isabel Salazar | 20 Highland Avenue, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Gregory C Banks | Gregory Banks Counseling, LLC, Danbury, CT 06810 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + DANBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Irene Mitchell | 63 Paul Ter, Southington, CT 06489-4128 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jennifer Quinn Mitchell | 590 Buff Cap Road, Tolland, CT 06084 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Matthew Wieland | 59 Maitland Rd, Stamford, CT 06906-2104 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Matthew A Bouteiller Pa | 50 Union St Apt 9, Northampton, MA 01060-3254 | Physician Assistant | 2012-11-01 ~ 2013-10-31 |
| Matthew B Band | 19 Worden Cir, Cheshire, CT 06410 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Matthew J Moore | 55 Langdon Ct, Berlin, CT 06037-1316 | Physician Assistant | 2019-02-01 ~ 2020-01-31 |
| Matthew W. Musco Pa-c | 132 Clearfield Rd, Wethersfield, CT 06109 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Matthew C Singleton Pa-c | 41 Rochela Dr, Southington, CT 06489-4670 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
| Matthew M Faucher | 26 Hawthorne Pl, North Andover, MA 01845-4205 | Physician Assistant | ~ |
| Matthew D Nankin | 138 Fair St, Wallingford, CT 06492-4210 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on MATTHEW T MITCHELL PA.
| 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).