JOHN H WHITBECK (Credential# 743772) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 20, 2011. The license expiration date date is June 30, 2012. The license status is INACTIVE.
JOHN H WHITBECK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002023. The credential type is physician assistant. The effective date is July 20, 2011. The expiration date is June 30, 2012. The business address is 18 Belle Vale St, Monroe, CT 06468-1527. The current status is inactive.
| Licensee Name | JOHN H WHITBECK |
| Credential ID | 743772 |
| Credential Number | 23.002023 |
| Credential Type | Physician Assistant |
| Business Address |
18 Belle Vale St Monroe CT 06468-1527 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE |
| Issue Date | 2007-11-07 |
| Effective Date | 2011-07-20 |
| Expiration Date | 2012-06-30 |
| Refresh Date | 2012-10-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 488491 | CSP.0042869 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-11-23 | 2008-03-01 - 2009-02-28 | INACTIVE |
| 843340 | 70.003607 | Emergency Medical Technician | 2003-05-08 | 2004-09-20 - 2007-01-01 | INACTIVE |
| 819940 | 69.002517 | Emergency Medical Responder | 2002-04-16 | 2002-04-16 - 2004-01-01 | INACTIVE |
| Street Address | 18 BELLE VALE ST |
| City | MONROE |
| State | CT |
| Zip Code | 06468-1527 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Audra Shepard Westphal | 58 Belle Vale St, Monroe, CT 06468-1527 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Teresa B Papstein | 7 Old Highway, Monroe, CT 06468-1527 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Anthony Malgioglio | 46 Belle Vale St, Monroe, CT 06468-1527 | Off Track Betting Facility Employee | 2019-01-01 ~ 2019-12-31 |
| Giovanna D Tiago | 64 Bellevale St, Monroe, CT 06468-1527 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liliya Maklyan | 31 Pastors Walk, Monroe, CT 06468 | Esthetician | ~ |
| Marion K Becker | 54 Greenwood Drive, Monroe, CT 06468 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Valerie Matte-zabin | 139 Bart Rd, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Hang T Dang | 150 Main St, Monroe, CT 06468 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Leanne M Grace | 79 Pastors Walk, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Alicia Marie Walker | 12 Edgewood Road, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Trina Duong | 202f Windgate Cir, Monroe, CT 06468 | Nail Technician | ~ |
| Julie M Boardman | 95 Richards Drive, Monroe, CT 06468 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marilia Curral Giacobbe | 260 Cutlers Farm Road, Monroe, CT 06468 | Notary Public Appointment | 2015-03-01 ~ 2020-02-28 |
| Jane E Allen · Eschweiler | 3 Timber Dr, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06468 | |||
| City | MONROE |
| Zip Code | 06468 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MONROE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Voytek | 15 East St, Wallingford, CT 06492-4005 | Physician Assistant | ~ |
| John Leach | Po Box 428, Ivoryton, CT 06442 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| John J Sceppa Pa | 259 Argyle Rd, Orange, CT 06477-2915 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| John J Roney | 33 Norwood Ave, Milford, CT 06460-7719 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Audrey Douglas | 26 John St, Derby, CT 06418 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| John M Farrell | 202 S Brooksvale Rd, Cheshire, CT 06410 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Courtney Sherman | 18 John Ct., Randolph, NJ 07869 | Physician Assistant | 2004-01-28 ~ 2004-09-30 |
| Daniel John Kaplan | 28 Forster St, Hartford, CT 06106-4214 | Physician Assistant | ~ |
| John J Musial Pa | 638 Prospect St, New Haven, CT 06511 | Physician Assistant | 2014-11-01 ~ 2015-10-31 |
| John D Mclean | 2 Oak Ridge Ave, Danbury, CT 06810 | Physician Assistant | 2008-03-07 ~ 2009-04-30 |
Please comment or provide details below to improve the information on JOHN H WHITBECK.
| 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).