JEFFREY D MIDGLEY PA
Physician Assistant


Address: 191 Eastwood Dr, Seymour, CT 06483

JEFFREY D MIDGLEY PA (Credential# 743579) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 25, 2008. The license expiration date date is March 31, 2009. The license status is INACTIVE.

Business Overview

JEFFREY D MIDGLEY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001830. The credential type is physician assistant. The effective date is January 25, 2008. The expiration date is March 31, 2009. The business address is 191 Eastwood Dr, Seymour, CT 06483. The current status is inactive.

Basic Information

Licensee Name JEFFREY D MIDGLEY PA
Credential ID 743579
Credential Number 23.001830
Credential Type Physician Assistant
Business Address 191 Eastwood Dr
Seymour
CT 06483
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-10-04
Effective Date 2008-01-25
Expiration Date 2009-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
454791 CSP.0040852 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-10-31 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 191 EASTWOOD DR
City SEYMOUR
State CT
Zip Code 06483

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Karin Svehlak 14 Oak Hill Road, Seymour, CT 06483 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City SEYMOUR
Zip Code 06483
License Type Physician Assistant
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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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