DANIEL G HEACOCK PA (Credential# 743981) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DANIEL G HEACOCK PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002232. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 270 Thimble Island Rd, Branford, CT 06405-5735. The current status is active.
| Licensee Name | DANIEL G HEACOCK PA |
| Credential ID | 743981 |
| Credential Number | 23.002232 |
| Credential Type | Physician Assistant |
| Business Address |
270 Thimble Island Rd Branford CT 06405-5735 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-02-02 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 525261 | CSP.0045124 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-02-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 270 THIMBLE ISLAND RD |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-5735 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Whitney E Besse | 270 Thimble Island Rd, Branford, CT 06405-5735 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea K Brooks | 264 Thimble Island Rd, Branford, CT 06405-5735 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth A Wieland | 282 Thimble Island Rd, Branford, CT 06405-5735 | Licensed Clinical Social Worker | 2018-06-01 ~ 2019-05-31 |
| Anna P Cardinale | 254 Thimble Island Rd, Branford, CT 06405-5735 | Hairdresser/cosmetician | 2018-11-01 ~ 2020-10-31 |
| Charles A. Possidente | 250 Thimble Islands Road, Branford, CT 06405-5735 | Certified Public Accountant License | 2014-01-01 ~ 2014-12-31 |
| Joshua D Brooks · Brooks Stone | 264 Thimble Island Rd, Branford, CT 06405-5735 | Home Improvement Contractor | 2020-03-02 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heacock & Company | 6 Donross Drive, Westerly, RI 02891 | Certified Public Accountant Firm Permit | 2009-01-01 ~ 2009-12-31 |
| Daniel Caputo | 39 Norwood Rd, Yonkers, NY 10710-1415 | Physician Assistant | ~ |
| Daniel G Mussen | 47 Skyview Dr, Colchester, CT 06415-2440 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Daniel Mallory Stephens | Po Box 896, Brewster, NY 10509-0896 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Daniel O'grady | 20 Heron Dr, Somers, CT 06071 | Physician Assistant | 2017-10-03 ~ 2018-07-31 |
| Daniel J Binelli | 900 Chapel St, New Haven, CT 06510 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Daniel T Mcnamara | 67 Guile Rd, Guilford, CT 06437-1547 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Daniel P Tuohey | 539 Farmington Ave, Bristol, CT 06010 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Michael Dow Pa | 23 Daniel St, East Hampton, CT 06424 | Physician Assistant | 2007-05-18 ~ 2008-07-31 |
| Daniel G Stewart | 11 Whalley Rd, Trumbull, CT 06611-4415 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on DANIEL G HEACOCK 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).