GARY V HAYNES PA (Credential# 743744) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
GARY V HAYNES PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001995. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 973 Stonington Road, Pawcatuck, CT 06379. The current status is active.
| Licensee Name | GARY V HAYNES PA |
| Credential ID | 743744 |
| Credential Number | 23.001995 |
| Credential Type | Physician Assistant |
| Business Address |
973 Stonington Road Pawcatuck CT 06379 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-10-09 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 489951 | CSP.0042920 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-12-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 973 STONINGTON ROAD |
| City | PAWCATUCK |
| State | CT |
| Zip Code | 06379 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinessa Job | 45 Aimee Dr, Pawcatuck, CT 06379 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Rosanne M Giuliano | 25 Davis Avenue, Pawcatuck, CT 06379 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Kathleen Lettich | 15 Canterbury Lane, Stonington, CT 06379 | Behavior Analyst | ~ |
| Deanna L. Boileau-gilman | 37 William Street, Pawcatuck, CT 06379 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Stuart A Lamb | 40 Lester Ave., Pawcatuck, CT 06379 | Optician | 2020-09-01 ~ 2021-08-31 |
| Lisa S Dittman · Boyd | 302 N Anguilla Rd, Pawcatuck, CT 06379 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Naomi Gobeille | 2 North Broad Street, Pawcatuck, CT 06379 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Sherrie L Theroux | 7 Pond View Ct, Pawcatuck, CT 06379 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Robin R Dana | 17 Wilcox Manor, Pawcatuck, CT 06379 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Sharon Marquis | 20 West Enterprise, Pawcatuck, CT 06379 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06379 | |||
| City | PAWCATUCK |
| Zip Code | 06379 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + PAWCATUCK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Darci Moran Pa | 71 Haynes St, Manchester, CT 06040 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Casey J Barcomb | 18 Haynes Street, Manchester, CT 06040 | Physician Assistant | 2005-08-25 ~ 2006-09-30 |
| Robert E Haynes · Haynes Whaley Assocs | Attn Robert E Haynes, Houston, TX 77042-3615 | Professional Engineer | 1991-01-07 ~ 1992-01-31 |
| Gary A Haynes | 98 Lincoln Street, Meriden, CT 06450 | Asbestos Abatement Supervisor | 2008-09-03 ~ 2009-05-31 |
| Bruce D Haynes · Haynes Construction & Remodeling | 178 South Rd, East Hartland, CT 06027 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Brian Haynes · B C Haynes Handy Man Services | 42 Gaye Lane, Wallingford, CT 06492 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Michael Reale Md | 100 Haynes St, Manchester, CT 06040-4113 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Megan T. Cummings | 71 Haynes St, Manchester, CT 06040-4131 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael N Levitz | 71 Haynes St, Manchester, CT 06040-4131 | Resident Physician | 2017-07-01 ~ 2020-10-29 |
Please comment or provide details below to improve the information on GARY V HAYNES 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).