TABOR D DIZON (Credential# 968979) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
TABOR D DIZON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002519. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 127 Loehr Rd, Tolland, CT 06084-3236. The current status is active.
| Licensee Name | TABOR D DIZON |
| Credential ID | 968979 |
| Credential Number | 23.002519 |
| Credential Type | Physician Assistant |
| Business Address |
127 Loehr Rd Tolland CT 06084-3236 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-11-16 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 975768 | CSP.0049384 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-11-30 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 127 LOEHR RD |
| City | TOLLAND |
| State | CT |
| Zip Code | 06084-3236 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley P Dizon | 127 Loehr Rd, Tolland, CT 06084 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee M Logan · Edwardsen | 163 Loehr Rd, Tolland, CT 06084-3236 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Venita J Frasca | 179 Loehr Rd, Tolland, CT 06084-3236 | Dental Hygienist | 2020-03-01 ~ 2021-02-28 |
| Billy L Shoaf · Just-us | 179 Loehr Rd, Tolland, CT 06084-3236 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janice M Heldmann-o'connell · Heldmann | 18 Thomas Dr, Tolland, CT 06084 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Barbara Ann Stebbins | 18 Midland Drive, Tolland, CT 06084 | Registered Nurse | ~ |
| Carrie Elizabeth Gill | 63 Hill Top Road, Tolland, CT 06084 | Behavior Analyst | ~ |
| Kollas Apple Orchard | 41 New Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Frederick M Daniels Dds | 12 Goose Lane, Tolland, CT 06084 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Pat's Power Equipment LLC | 401 Merrow Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Keri A Johnson | 224 Buff Cap Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Clifford Vernor Dunn, IIi | 44 Birch Hill Dr., Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Aimee Wendy Johnson | 175 South River Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Peter D Staiger Md | David E. Palozej Eyecare Associates, Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06084 | |||
| City | TOLLAND |
| Zip Code | 06084 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + TOLLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tabor Mt Tabor Shiraz | [email protected], Hartford, CT 06106 | Liquor Brand Label | 2017-10-27 ~ 2020-10-25 |
| Tabor Mt Tabor Merlot | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-10-27 ~ 2020-10-25 |
| Tabor Mt Tabor Chardonnay | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-10-27 ~ 2020-10-25 |
| Tabor Mt Tabor Cabernet Sauvignon | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-10-27 ~ 2020-10-25 |
| Edilberto Dizon Atienza | 1227 N 3rd St, Springfield, IL 62702-3835 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Don Steven Dizon | Women and Infants Hospital, Providence, RI 02905 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
| Tabor Christian Community Preschool | 45 Tabor Drive, Branford, CT 06405 | Child Care Center | 2017-04-01 ~ 2021-03-31 |
| Tabor City Medicine Mart · Tabor City Medicine Mart Inc | 220 South Main Street, Tabor City, NC 28463 | Nonresident Pharmacy | ~ |
| Henry S Tabor | 18 Tabor Road, Griswold, CT 06351 | Asbestos Abatement Worker | 2013-10-16 ~ 2014-11-30 |
| Christopher H Tabor | 33 Tabor Rd, Griswold, CT 06351-3645 | Plumbing & Piping Unlimited Journeyperson | 2020-01-10 ~ 2020-10-31 |
Please comment or provide details below to improve the information on TABOR D DIZON.
| 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).