CASEY J BARCOMB
Physician Assistant


Address: 18 Haynes Street, Manchester, CT 06040

CASEY J BARCOMB (Credential# 743251) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 25, 2005. The license expiration date date is September 30, 2006. The license status is INACTIVE.

Business Overview

CASEY J BARCOMB is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001502. The credential type is physician assistant. The effective date is August 25, 2005. The expiration date is September 30, 2006. The business address is 18 Haynes Street, Manchester, CT 06040. The current status is inactive.

Basic Information

Licensee Name CASEY J BARCOMB
Credential ID 743251
Credential Number 23.001502
Credential Type Physician Assistant
Business Address 18 Haynes Street
Manchester
CT 06040
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-08-17
Effective Date 2005-08-25
Expiration Date 2006-09-30
Refresh Date 2009-07-08

Office Location

Street Address 18 Haynes Street
City Manchester
State CT
Zip Code 06040

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Erin C Boyle 470 Porter Street, Manchester, CT 06040 Registered Nurse 2020-07-01 ~ 2021-06-30
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Andrea H Clifford 116 Longview Drive, Manchester, CT 06040 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City Manchester
Zip Code 06040
License Type Physician Assistant
License Type + County Physician Assistant + Manchester

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
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Michael T Casey · Casey Roofing Co Inc 257 Scofield Ave, Bridgeport, CT 06605 Home Improvement Contractor 1996-05-16 ~ 1996-11-30
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Casey P Mayer 412 Benedict Ave Apt 6a, Tarrytown, NY 10591-4910 Occupational Therapist Assistant 2015-08-01 ~ 2017-07-31
James A Casey Sr · James A Casey Building Cont 119 West Shore Road, New Preston, CT 06777 Home Improvement Contractor 2002-12-01 ~ 2003-11-30
Casey L Savo 4 High Ridge Rd, Naugatuck, CT 06770-2965 Occupational Therapist Assistant 2019-08-01 ~ 2021-07-31
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Dataset Information

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).

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