SHELLY A FOWLER PA-C
Physician Assistant


Address: Po Box 1003, Williamsburg, MA 01096-1003

SHELLY A FOWLER PA-C (Credential# 743770) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

SHELLY A FOWLER PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002021. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is Po Box 1003, Williamsburg, MA 01096-1003. The current status is active.

Basic Information

Licensee Name SHELLY A FOWLER PA-C
Credential ID 743770
Credential Number 23.002021
Credential Type Physician Assistant
Business Address Po Box 1003
Williamsburg
MA 01096-1003
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-11-07
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-01-22

Other licenses

ID Credential Code Credential Type Issue Term Status
490939 CSP.0042959 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-12-19 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address PO BOX 1003
City WILLIAMSBURG
State MA
Zip Code 01096-1003

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Margaret Mcwherter 31 Stage Rd, Williamsburg, MA 01096 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Amy L Bisbee 2 Village Hill Avenue, Williamsburg, MA 01096 Professional Engineer 2020-02-01 ~ 2021-01-31
Molly Ann Meehan 101 East Street, Williamsburg, MA 01096 Notary Public Appointment 2017-08-28 ~ 2022-08-31
Nathan J Brown 6 Nash Hill Road, Williamsburg, MA 01096 Plumbing & Piping Limited Contractor 2019-11-01 ~ 2020-10-31
Paul H Sanderson 63 Petticoat Hill Rd, Williamsburg, MA 01096 Registered Nurse 2019-12-01 ~ 2020-11-30
Michael Galaburri 11r N Main St, Williamsburg, MA 01096 Professional Counselor 2019-08-01 ~ 2020-07-31
Shad L Smith 38 Stage Road, Williamsburg, MA 01096 Flat Glass Unlimited Journeyperson 2019-09-01 ~ 2020-08-31
Timothy F Driscoll 27 Sugar Hill Rd, Chesterfield, MA 01096 Repairer of Weighing & Measuring Devices 2003-01-17 ~ 2003-12-31
Donna Cowan · Claxton 105 South Street, Williamsburg, MA 01096 Licensed Clinical Social Worker 2017-03-01 ~ 2018-02-28
Antonio D. Fraga 3 Circle Dr., Wilbraham, MA 01096 Hoisting Equipment Operator 2006-11-23 ~ 2008-11-22
Find all Licenses in zip 01096

Competitor

Search similar business entities

City WILLIAMSBURG
Zip Code 01096
License Type Physician Assistant
License Type + County Physician Assistant + WILLIAMSBURG

Similar businesses

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Shelly J Moore 1936 Cr 1577, Hughes Springs, TX 75656 Physical Therapist Assistant 2008-10-17 ~ 2009-11-30
Shelly L Ceceri 144 Daniel Peck Road, East Haddam, CT 06423 Physical Therapist Assistant 2020-06-01 ~ 2021-05-31
Karen Bergenholtz 48 Fowler Ave., Durham, CT 06422 Occupational Therapist Assistant 2015-08-01 ~ 2017-07-31
Judith A Fowler 18 Indian Lane, Webster, MA 01570 Occupational Therapist Assistant ~ 1997-07-31
Fowler Avenue 425 Fowler Avenue, Middletown, CT 06457 Community Living Arrangement 2020-04-01 ~ 2022-03-31
Shelly's Corner 312 Harborside St, Branford, CT 06405 Operator of Weighing & Measuring Devices 1999-08-01 ~ 2000-07-31
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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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