KEVIN M CHANDON PA-C (Credential# 982339) 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.
KEVIN M CHANDON PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002550. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 79 Judson Ave, Woodbury, CT 06798-2713. The current status is active.
| Licensee Name | KEVIN M CHANDON PA-C |
| Credential ID | 982339 |
| Credential Number | 23.002550 |
| Credential Type | Physician Assistant |
| Business Address |
79 Judson Ave Woodbury CT 06798-2713 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-03-08 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 989350 | CSP.0049823 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 79 JUDSON AVE |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798-2713 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne A Hobson | 79 Judson Ave, Woodbury, CT 06798 | Real Estate Salesperson | 2010-06-17 ~ 2011-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edwin R Cole | 89 Judson Ave, Woodbury, CT 06798-2713 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| David H Daniels | 83 Judson Ave, Woodbury, CT 06798-2713 | Tv & Radio Electronic Technician | 2013-09-06 ~ 2014-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell J Hardy | 229 Bacon Pond Rd #114, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Geoffrey S Middeleer | 20 Roxbury Road, Woodbury, CT 06798 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elaine P Templeton | 197 Carmel Hill Road, Woodbury, CT 06798 | Real Estate Salesperson | ~ |
| Ayrica L Gelinas | 65 Laurel Woods Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christopher R Laux | Grey Fox Trail, Woodbury, CT 06798 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diane L Robinson | P O Box 208, Woodbury, CT 06798 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott Freitag | 47 Woodbury Hill, Woodbury, CT 06798 | Medication Administration Certification | ~ |
| Brenda L Lupo | 31 Blueberry Lane, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Thompson | 1280 Main St. North, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Eileen O Pflegl | 3 Hazel Plain Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06798 | |||
| City | WOODBURY |
| Zip Code | 06798 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WOODBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Domaine Chandon Chandon Brut Agrentina | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2005-01-01 ~ 2007-12-31 |
| Domaine Chandon Chandon 2000 Cuvee | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2010-12-31 ~ 2013-12-29 |
| Domaine Chandon Inc · Domaine Chandon | 1 California Dr, Yountville, CA 94599-1426 | Out of State Shipper Liquor | 2020-03-06 ~ 2021-03-05 |
| Domaine Chandon Chandon Brut Fresco Argentina | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2005-01-01 ~ 2007-12-31 |
| Kevin L Pedneault | 15 Fairmont St, Wethersfield, CT 06109-2212 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kevin Eric Hwang | 17 Lyon Ave, Greenwich, CT 06830-6206 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kevin C Calyer Pa | 460 Hartford Tpke, Vernon, CT 06066 | Physician Assistant | 2006-02-16 ~ 2007-04-30 |
| Kevin E Wood | 43 Terese Rd, Beacon Falls, CT 06403-1240 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kevin F Ryan | 12 Walker Road, Ware, MA 01082 | Physician Assistant | 1997-08-22 ~ 1998-09-30 |
| Kevin R Mcdonald | 100 Oakview Drive, Trumbull, CT 06611 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on KEVIN M CHANDON PA-C.
| 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).